Suzanne Keele Edelman
Nurse Practitioner - Community Health Nurse Practitioner - Psychiatric/Mental Health
4702 W Cherry Creek Road
Moore
, Idaho 83255
Suzanne Keele Edelman
Nurse Practitioner - Community Health Nurse Practitioner - Psychiatric/Mental Health
4702 W Cherry Creek Road
Moore
, Idaho 83255
(208) 554-2006
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About
Features
Specialties
- Nurse Practitioner - Community Health
- Nurse Practitioner - Psychiatric/Mental Health
Languages spoken
- English
Location
First Address
- Suzanne Keele Edelman
- 421 Memorial Dr
- Pocatello, ID
- Zip : 83201-4008
- Phone : (208) 554-2006
Second Address
- Suzanne Keele Edelman
- 4702 W Cherry Creek Road
- Moore, ID
- Zip : 83255
- Phone : (208) 554-2006
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Where did Suzanne Keele Edelman attend graduate school?
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Where is Suzanne Keele Edelman ’s practice located?
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Is Suzanne Keele Edelman a sole practitioner?
Is Suzanne Keele Edelman accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 363LC1500X | Nurse Practitioner - Community Health | NP-325A | ID |
| N | 363LP0808X | Nurse Practitioner - Psychiatric/Mental Health | NP-325A | ID |
National Provider Identifier
| NPI | 1164628442 |
|---|---|
| Provider Name | Suzanne Keele Edelman |
| First Address | Pocatello, ID 83201-4008 |
| Second Address | Moore, ID 83255 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 25/06/2007 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| ME1563990 | CONTROLLED SUBSTANCE REG. (01) | ID |
| N-10732 | RN LICENSE (01) | ID |
| NP-325A | ANP LICENSE (01) | ID |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.