Search › Idaho › 363LF0000X
Brian Beach, FNP-C
NPI 1821792854 · on the registry since 2023
Practice
- Address
- 4750 Yellowstone Ave
Chubbuck, ID 83202 - Phone
- (208) 233-1720
- Fax
- (208) 233-2161
- Organisation at this address
- Snake River Pharmacy
Clifford Family MedicineInferred from a shared address, not stated in the registry.
Additional practice sites
- 850 Yellowstone Ave Ste A, Pocatello, ID
Registry record
- Primary taxonomy
- 363LF0000X
363LF0000X
- Also registered as
- 363LF0000X
- Licence states on file
- MT, ID
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-08-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho