HELENE P EDMO, FNP, Primary Care LAVA HOT SPRINGS, ID

Contact Information

HELENE P EDMO, FNP

85 S 5TH W
LAVA HOT SPRINGS, ID 83246

Phone: 208-776-5202
Fax: 208-776-5614
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Primary Care	363LP2300X	50	Nurse Practitioner

Indicates primary specialty

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NPI Profile & details for HELENE P EDMO · (Female)

NPI Number	`1699767004`
Status	Active
Credentials	FNP (Family Nurse Practitioner)
Entity	Individual
Enumeration date	08/22/2005
Last updated	04/16/2008 - About 18 years ago
Sole proprietor ¹	No
Identifiers	ID License # NP367A ID Other NPLX2 BLUE CROSS - ABERDEEN ID Other NPLU9 BLUE CROSS - AM FALLS ID Other NPLV6 BLUE CROSS - DOWNEY ID Other NPYJ3 BLUE CROSS - MCCAMMON ID Other NPLY0 BLUE CROSS - POCATELLO ID Other NPLW4 BLUE CROSS OF ID - LAVA
Hospital affiliation(s)	BINGHAM MEMORIAL HOSPITAL - (Critical Access) 98 POPLAR STREET BLACKFOOT, ID 83221 PORTNEUF MEDICAL CENTER - (Acute Care) 777 HOSPITAL WAY POCATELLO, ID 83201

¹ A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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HELENE P EDMO, FNP – NPI #1699767004Primary Care

Contact Information

Specialty

Primary Care

NPI Profile & details for HELENE P EDMO · (Female)

Reviews for HELENE P EDMO

HELENE P EDMO, FNP – NPI #1699767004
Primary Care