Individual provider · Type 1 NPI
Edith Mary Roe, NP-BC
Adult Health Nurse Practitioner · Homedale, ID
NPI number
1831667468
Active
Practice location
126 W Idaho Ave
Homedale, ID 83628-0037
Mailing address
126 W. Idaho Ave
Homedale, ID 83628
Other practice locations
- 24900 Market Rd, Parma, ID 83660 · (208) 859-4103
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner | 363L00000X | 201910193NP (OR) |
| Adult Health Nurse Practitioner Primary | 363LA2200X | 60044 (ID) |
Adult Health Nurse Practitioner: Definition to come...
About NPI 1831667468
Edith Mary Roe, NP-BC's National Provider Identifier is 1831667468, issued on Nov 13, 2018. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Homedale, ID. The record was last updated on Apr 21, 2020.