MRS. Beverley Ann Blake Odoherty, CFNP is a family nurse practitioner in Pocatello, ID with 28 years of experience. MRS. Beverley Ann Blake Odoherty, CFNP NPI is 1821166539. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a female.
The provider's business location address is:
777 HOSPITAL WAY
POCATELLO, ID
ZIP 83201-175
Phone: (208) 239-1000
The NPI 1821166539 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 12/1/2006 and was last updated on 7/20/2012.