BEAVER E ELLER, FNP-BC, AGACNP-BC, Family SANDPOINT, ID

Contact Information

BEAVER E ELLER, FNP-BC, AGACNP-BC

520 N 3RD AVE
SANDPOINT, ID 83864-1507

Phone: 208-263-0649
Fax: 208-265-6743
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Family	363LF0000X	50	Nurse Practitioner
Gerontology	363LG0600X	50	Nurse Practitioner
Nurse Practitioner	363L00000X	50	Nurse Practitioner

Indicates primary specialty

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NPI Profile & details for BEAVER E ELLER · (Male)

NPI #	`1760827372`
Status	Active
Credentials	FNP-BC, AGACNP-BC
Entity	Individual
Enumeration date	05/09/2013
Last updated	03/05/2022 - About 4 years ago
Sole proprietor ¹	No
Identifiers	GU License # 22NP01 GU License # 22R030 ID License # NP-1621A MT License # 1251200 WA License # AP6085682
Hospital affiliation(s)	BONNER GENERAL HOSPITAL - (Critical Access) 520 NORTH THIRD AVENUE SANDPOINT, ID 83864

¹ A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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BEAVER E ELLER, FNP-BC, AGACNP-BC – NPI #1760827372Family

Contact Information

Specialty

Family

Gerontology

Nurse Practitioner

NPI Profile & details for BEAVER E ELLER · (Male)

Reviews for BEAVER E ELLER

BEAVER E ELLER, FNP-BC, AGACNP-BC – NPI #1760827372
Family