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MS. BETH ELAINE LANDIS NP
NPI 1013915164
Nurse Practitioner - Family in Eagle, ID

Active since July 12, 2005
1540 E RIVERS END CT, EAGLE, ID 83616(208) 939-6030 Get Directions Write a Review

NPPES record last updated: July 2, 2010. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Ms. Beth Elaine Landis Np NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. BETH ELAINE LANDIS NP (NPI 1013915164) is an individual family provider in Eagle, Idaho, licensed in Idaho (N-34045) and active in the NPI registry since July 2005.

NPPES Registry Identity

NPI1013915164
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMS. BETH ELAINE LANDISCredential: NP
Location Address1540 E RIVERS END CTEagle, ID 83616-6390
Mailing Address1540 E Rivers End CtEagle, ID 83616-6390 · (208) 939-6030
Phone(208) 939-6030
Sole ProprietorNo
Enumeration DateJuly 12, 2005
Last NPPES UpdateJuly 2, 2010
✔ NPI 1013915164 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in ID · N-34045
1540 E RIVERS END CT, Eagle, ID 83616
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Beth Landis's NPI number?

The NPI number for Beth Landis is 1013915164. It was assigned to this individual provider in the NPPES registry on July 12, 2005.

Where is Beth Landis located?

Beth Landis practices at 1540 E Rivers End Ct, Eagle, ID 83616. The listed phone number is (208) 939-6030.

What is Beth Landis's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Beth Landis was last updated on July 2, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.