Edmo, Helene P

Edmo, Helene P is an individual health care provider with primary practice located at 85 S 5Th W , Lava Hot Springs ID 83246. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Primary Care, which is considered as her primary health care specialty. Edmo, Helene P can be contacted via phone (208) 776-5202.

Contact Information

Primary practice address
85 S 5Th W Lava Hot Springs ID 83246
Fax: (208) 776-5614
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X NP367A Idaho

Profile Details

NPI number 1699767004
LBN Legal business name Edmo, Helene P
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 22nd, 2005
Last updated Apr 16th, 2008 - about 17 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 1699767004 NPPES
Idaho Other NPYJ3 BLUE CROSS - MCCAMMON
Idaho Other NPLX2 BLUE CROSS - MCCAMMON
Idaho Other NPLV6 BLUE CROSS - MCCAMMON
Idaho Other NPLU9 BLUE CROSS - MCCAMMON
Idaho Other NPLW4 BLUE CROSS - MCCAMMON
Idaho Other NPLY0 BLUE CROSS - MCCAMMON

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