BETH LARAE AMOS C.F.A
NPI 1053440644
in Caldwell, ID

Active since March 02, 2007
404 E ELM ST, CALDWELL, ID 83605(208) 459-0028(208) 459-0380 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Beth Larae Amos C.f.a NPPES

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

BETH LARAE AMOS C.F.A (NPI 1053440644) is an individual healthcare provider in Caldwell, Idaho, licensed in Idaho (83259) and active in the NPI registry since March 2007.

NPPES Registry Identity

NPI1053440644
Entity TypeIndividualFemale
Primary Taxonomy246ZS0400X
Provider Legal NameBETH LARAE AMOSCredential: C.F.A
Location Address404 E ELM STCaldwell, ID 83605-4846
Mailing Address12262 W Mellow CtBoise, ID 83709-5180
Fax(208) 459-0380
Sole ProprietorYes
Enumeration DateMarch 2, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1053440644 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary Specialty
Taxonomy Code246ZS0400X
License Licensed in ID · 83259
404 E ELM ST, Caldwell, ID 83605

Other Identifiers 1

Other83259ID · Certification For The Sur

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Surgery
404 E ELM ST
CALDWELL, ID 83605
Surgery
404 E ELM ST
CALDWELL, ID 83605

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1053440644, enumerated as an "individual" on March 02, 2007.

The provider is located at 404 E ELM ST CALDWELL, ID 83605 and the phone number is (208) 459-0028.

with taxonomy code 246ZS0400X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.