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

TaxonomyCodeLicense
Nurse Practitioner 363L00000X201910193NP (OR)
Adult Health Nurse Practitioner Primary 363LA2200X60044 (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.