Edelman, Suzanne Keele

Edelman, Suzanne Keele is an individual health care provider with primary practice located at 4702 W Cherry Creek Road , Moore ID 83255. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Community Health, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Community Health is her primary health care specialty. Edelman, Suzanne Keele can be contacted via phone (208) 554-2006.

Contact Information

Primary practice address
4702 W Cherry Creek Road Moore ID 83255
Phone: (208) 554-2006
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Community Health 363LC1500X NP-325A Idaho
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X NP-325A Idaho

Profile Details

NPI number 1164628442
LBN Legal business name Edelman, Suzanne Keele
Credentials Adult Nurse Practitioner (ANP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 25th, 2007
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1164628442 NPPES
Idaho Other NP-325A ANP LICENSE
Idaho Other N-10732 ANP LICENSE
Idaho Other ME1563990 ANP LICENSE

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