Individual provider · Type 1 NPI

Samantha J. Bedolla

Student in an Organized Health Care Education/Training Program · Pocatello, ID

NPI number 1336068618 Active

Practice location

1246 Yellowstone Ave Ste C5
Pocatello, ID 83201-4373

Call (208) 233-0150 Map

Mailing address

566 Randolph Ave
Pocatello, ID 83201-3933

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000X8081510 (ID)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

4 other providers at this address

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About NPI 1336068618

Samantha J. Bedolla's National Provider Identifier is 1336068618, issued on Jul 13, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Pocatello, ID. The record was last updated on Jul 16, 2026.