Individual provider · Type 1 NPI

Bethany Kendall Maze, FNP

Family Nurse Practitioner · Boise, ID

NPI number 1053180976 Active

Practice location

6051 W Emerald St
Boise, ID 83704-8969

Fax (208) 302-5155

Mailing address

PO Box 190930
Boise, ID 83719-0930

Other practice locations

  • 1150 N Sister Catherine Way, Nampa, ID 83687-3133 · (208) 302-7000

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X60785 (ID)

Family Nurse Practitioner: Definition to come...

55 other providers at this address

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About NPI 1053180976

Bethany Kendall Maze, FNP's National Provider Identifier is 1053180976, issued on Dec 20, 2023. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Boise, ID. The record was last updated on Jan 25, 2024.