| Glade Southam, NP | |
|
Byu - Idaho, 100 Shc, Rexburg, ID 83460-2010 | |
| (208) 496-1300 | |
| Not Available |
| Full Name | Glade Southam |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner - Family |
| Location | Byu - Idaho, Rexburg, Idaho |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588654628 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | NP - 747A (Idaho) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Glade Southam, NP Byu - Idaho Nursing Department, 117c Clarke, Rexburg, ID 83460-0620 Ph: (208) 496-1385 | Glade Southam, NP Byu - Idaho, 100 Shc, Rexburg, ID 83460-2010 Ph: (208) 496-1300 |
Bryce Campbell, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 450 E Main St, Rexburg, ID 83440 Phone: 208-359-6900 | |
Troy Hanson, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 450 E Main St, Rexburg, ID 83440 Phone: 208-356-3691 | |
Annette Mary Tuft, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 859 S Yellowstone Hwy Ste 3201, Rexburg, ID 83440 Phone: 208-359-2101 Fax: 208-356-8860 | |
Beyron Alexis Zecher, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 450 E Main St, Rexburg, ID 83440 Phone: 208-359-6900 | |
Nichole Ann Jeppesen, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 10 Madison Professional Park, Rexburg, ID 83440 Phone: 208-656-9467 Fax: 208-656-9466 | |
Mr. Jeremiah Robins Clark, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 600 Pioneer Rd Apt 1320, Rexburg, ID 83440 Phone: 269-428-7228 | |
Arleigh Nash, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 72 S 1st E Ste 101, Rexburg, ID 83440 Phone: 208-356-4900 Fax: 208-359-1600 |