Mrs. Beverley Ann Blake Odoherty is a Twin Falls, Idaho based nurse practitioner with 29 years of experience in . She completed her graduation in 1996. and . She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Mrs. Beverley Ann Blake Odoherty is NP925A for Family in Idaho. Her current practice location is 801 Pole Line Rd W, Twin Falls. Patients can reach her at 208-814-4100 or can fax her at 208-814-4908. Mrs. Beverley Ann Blake Odoherty is CFNP and her NPI number (Unique professional ID assigned by NPPES) is 1821166539. Mrs. Beverley Ann Blake Odoherty has completed additional training beyond basic nursing education and provides primary health care services in accordance with state nurse practice laws or statutes. NPs are trained to assess patient needs, order and interpret diagnostic and laboratory tests, diagnose disease, formulate and prescribe medications and treatment plans.
Complete Profile:
Mrs. Beverley Ann Blake Odoherty speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
3577514207
Enrollment ID:
I20091229000076
NPI Number:
1821166539
NPI Enumeration Date:
01 Dec, 2006
NPI Last Update On:
09 Sep, 2024
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mrs. Beverley Ann Blake Odoherty are as mentioned below.
License Number
Specialization
State
Status
NP925A
Family
Idaho
Primary
RN172038
Nurse Practitioner
Colorado
Secondary
Hospital Affiliation:
NPs can be affiliated to many hospitals whom they worked with in the past or are presently working with. One NP can be affiliated to four to five hospitals at a time.
Hospital Name (CCN)
State
Hospital Type
(380020)
Springfield, OR
Acute Care Hospital
(130028)
Pocatello, ID
Acute Care Hospital
(131316)
Montpelier, ID
Critical Access Hospital
Group Practice:
Group practices are practice of medicine by a group of NPs who share their premises and other resources. Following list states all the group name
with which Mrs. Beverley Ann Blake Odoherty is associated with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Pocatello Health Services Llc (6608927637)
120
Cogent Healthcare Of Washington, Pc (2062306350)
243
Other Medical Identifiers:
Other legacy medical identifiers associated with Mrs. Beverley Ann Blake Odoherty such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
16301862
Medicaid
Colorado
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Mrs. Beverley Ann Blake Odoherty 190 E Bannock St, Boise, Idaho
Zip:
83712-6241
Phone Number:
208-381-8752
Patients can reach Mrs. Beverley Ann Blake Odoherty at 801 Pole Line Rd W, Twin Falls, Idaho or can call to book an appointment on 208-814-4100.
Comments/ Reviews:
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 14 April, 2025.