Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
EDITH MARY ROE, NP-BC
Active Sole ProprietorAdult Health Nurse Practitioner · HOMEDALE, ID
Registration Details
- NPI Number
- 1831667468
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 13, 2018 (7.4463142937887 yrs)
- Last Updated
- Apr 21, 2020
- Licenses
-
201910193NP (OR)60044 (ID)
- Sole Proprietor
- Yes
Practice Information
- Address
-
126 W IDAHO AVEHOMEDALE, ID, 836280037Browse ID providers · Browse ZIP 83628
- Phone
- 2083377038
- Primary Specialty
-
Adult Health Nurse Practitioner
363LA2200X
- Additional Specialty
- Adult Health Nurse Practitioner
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.