Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Samantha J. Bedolla

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1336068618

Samantha J. Bedolla is a Student in an Organized Health Care Education/Training Program in Pocatello, Idaho. Licensed in Idaho. Registered with an NPI since 2026.

Licensed in
ID
In the registry since
2026

Practice location Address checks out

1246 Yellowstone Ave Ste C5
Pocatello, ID 83201-4373
Phone: (208) 233-0150
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X · Licence 8081510 (ID)

Record details

NPI number1336068618
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 13, 2026
Last updated in NPPESJuly 16, 2026
Certification dateJuly 16, 2026
Mailing address566 Randolph Ave, Pocatello, ID 83201-3933

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