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Suzanne Keele Edelman, ANP
Psychiatric/Mental Health Nurse Practitioner in Moore, Idaho
NPI 1164628442

Suzanne Keele Edelman is a Psychiatric/Mental Health Nurse Practitioner based in Pocatello, ID and is specialized in Psychiatric/Mental Health. Suzanne Keele Edelman practices in Moore, ID and has the professional credentials of ANP. The NPI Number for Suzanne Keele Edelman is 1164628442 and holds a License No. NP-325A (Idaho).

The current practice location address for Suzanne Keele Edelman is 4702 W Cherry Creek Road, Moore, ID and can be reached out via phone at 208-554-2006.

Location: 4702 W Cherry Creek Road, Moore, ID, 83201-4008
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Provider Profile Details
NPI Number
1164628442
Provider Name
Suzanne Keele Edelman
Credential
ANP
Provider Entity Type
Individual
Gender
Female
Address
4702 W Cherry Creek Road, Moore, ID, 83201-4008
Phone Number
208-554-2006
Fax Number
Provider Enumeration Date
06/25/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
NP-325A 01 ID ANP LICENSE
N-10732 01 ID RN LICENSE
ME1563990 01 ID CONTROLLED SUBSTANCE REG.
institution
Provider Business Practice Location Address Details
Address
4702 W Cherry Creek Road
City
State
Zip
83255
Phone Number
208-554-2006
Fax Number
person
Provider Business Mailing Address Details
Address
4702 W Cherry Creek Road
City
State
Zip
83255
Phone Number
208-554-2006
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Community Health
Taxonomy
License No.
NP-325A (Idaho)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
NP-325A (Idaho)
Definition
Definition to come...
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