Suzanne Keele Edelman, ANP - Nurse Practitioner in Moore, ID

Suzanne Keele Edelman, ANP is a Nurse Practitioner - Psychiatric/mental Health based in Moore, Idaho. Suzanne Keele Edelman is licensed to practice in Idaho (license number NP-325A) and her current practice location is 4702 W Cherry Creek Road, Moore, Idaho. She can be reached at her office (for appointments etc.) via phone at (208) 554-2006.

NPI number for Suzanne Keele Edelman is 1164628442 and her current mailing address is 421 Memorial Dr, Pocatello, Idaho. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1164628442.

Contact Information

Suzanne Keele Edelman, ANP
4702 W Cherry Creek Road,
Moore, ID 83255
(208) 554-2006
Not Available

Map and Direction




Provider's Profile

Full NameSuzanne Keele Edelman
GenderFemale
SpecialityNurse Practitioner - Psychiatric/mental Health
Location4702 W Cherry Creek Road, Moore, Idaho
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1164628442
  • Provider Enumeration Date: 06/25/2007
  • Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Suzanne Keele Edelman such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1164628442NPI-NPPES
NP-325AOtherIDANP LICENSE
N-10732OtherIDRN LICENSE
ME1563990OtherIDCONTROLLED SUBSTANCE REG.

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LC1500XNurse Practitioner - Community Health NP-325A (Idaho)Primary
363LP0808XNurse Practitioner - Psychiatric/mental Health NP-325A (Idaho)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Suzanne Keele Edelman is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Suzanne Keele Edelman, ANP
421 Memorial Dr,
Pocatello, ID 83201-4008

Ph: (208) 554-2006
Suzanne Keele Edelman, ANP
4702 W Cherry Creek Road,
Moore, ID 83255

Ph: (208) 554-2006

Reviews and Comments


Nurse Practitioner Nurses in Moore, ID


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