Nurse Practitioner, Family
Mrs. BEVERLEY BLAKE ODOHERTY CFNP
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1821166539 · enumerated 2006-12-01 · record updated 2026-09-05. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Addresses and phones
- Mailing address 1278 SWISHER RD, POCATELLO, ID, 83204-1929 (208) 705-7554 Google Maps Apple Maps OpenStreetMap
- Practice location 1101 26TH ST S, GREAT FALLS, MT, 59405-5161 (406) 455-5000 Fax (406) 731-8318 Google Maps Apple Maps OpenStreetMap
Specialties
- Nurse Practitioner, Family 363LF0000X · Primary · License NP925A ID
- Nurse Practitioner, Family 363LF0000X · License NPPA070938 PA
- Nurse Practitioner, Family 363LF0000X · License 201907779NP-PP OR
- Nurse Practitioner 363L00000X · License 102700 MT
In this directory
Locations and evidence
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Practice location
GREAT FALLS, MT, 594055161
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.