Individual provider · Type 1 NPI
Suzanne Keele Edelman, ANP
Psychiatric/Mental Health Nurse Practitioner · Moore, ID
NPI number
1164628442
Active
Practice location
4702 W Cherry Creek Road
Moore, ID 83255
Mailing address
421 Memorial Dr
Pocatello, ID 83201-4008
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Community Health Nurse Practitioner | 363LC1500X | NP-325A (ID) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | NP-325A (ID) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
About NPI 1164628442
Suzanne Keele Edelman, ANP's National Provider Identifier is 1164628442, issued on Jun 25, 2007. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Moore, ID. The record was last updated on Sep 11, 2025.