Suzanne Keele Edelman in Pocatello - Psychiatric/mental Health
Suzanne Keele Edelman - NPI 1164628442
Suzanne Keele Edelman is a Psychiatric/mental Health in Pocatello, Idaho. Suzanne Keele Edelman practices all healthcare services and medical treatments related to Psychiatric/mental Health. The NPI Number for Suzanne Keele Edelman is 1164628442. The last update date is 2007-07-08.
Suzanne Keele Edelman's current location address is 421 Memorial Dr, Pocatello, Idaho. You can contact this provider via phone number 2085542006. The mailing address for Suzanne Keele Edelman is 421 Memorial Dr, Pocatello, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Suzanne Keele Edelman |
|---|---|
| Address | 421 Memorial Dr, Pocatello, Idaho |
| Phone Number | 2085542006 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | ANP |
NPI Number Detail
| NPI Number | 1164628442 |
|---|---|
| Provider Enumeration Date | 2007-06-25 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 421 Memorial Dr |
|---|---|
| City | Pocatello |
| State | Idaho (ID) |
| Post Code | 832014008 |
| Phone Number | 2085542006 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Psychiatric/mental Health |
|---|---|
| Taxonomy | 363Lp0808X |
| Licence No | NP-325A |
|
Definition: An advanced practice registered nurse expert in providing psychiatric and mental healthcare services. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| NP-325A | ID | ANP LICENSE | |
| N-10732 | ID | RN LICENSE | |
| ME1563990 | ID | CONTROLLED SUBSTANCE REG. |
Post Comment/ Review Below
What is the unique provider identifier assigned to Suzanne Keele Edelman?
The Suzanne Keele Edelman has been issued the NPI (National Provider Identifier) 1164628442 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Suzanne Keele Edelman?
The Suzanne Keele Edelman is physically situated at 421 Memorial Dr, in the city of Pocatello, state of ID, with the postal code 832014008.
What is Suzanne Keele Edelman's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Suzanne Keele Edelman is Psychiatric/mental Health, and the corresponding taxonomy classification code for this specialized field is 363Lp0808X.
On what date did the Suzanne Keele Edelman receive its 1164628442 assignment from the Centers for Medicare & Medicaid Services?
The Suzanne Keele Edelman was assigned its 1164628442 by the Centers for Medicare & Medicaid Services on 2007-06-25.
As of what date were the details pertaining to Suzanne Keele Edelman last refreshed?
The information related to the Suzanne Keele Edelman, including its address, specialty, and other relevant details, was last updated on 2007-07-08.