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NPI Code Detail

MEDICARE: KAREN ANN BEAN NP

MEDICARE: KAREN ANN BEAN NP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363L00000XNurse PractitionerNP-757AID

General Provider Information

NPI Number : 1326132432
Entity Type Code : Individual
Provider Name (Legal Business Name) : KAREN ANN BEAN NP
Provider Business Mailing Address
First Line : PO BOX 191050
Second Line :
City : BOISE
State : ID
Zip : 83719-1050
Country : US
Telephone Number : 208-955-6500
Fax Number : 208-955-6501
Provider Business Practice Location Address
First Line : 4815 CLEVELAND BLVD
Second Line :
City : CALDWELL
State : ID
Zip : 83605-6501
Country : US
Telephone Number : 208-455-3545
Fax Number : 208-454-9690
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/03/2006
Last Update Date : 08/26/2025

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