Individual
HELENE P EDMO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
85 S 5TH W, LAVA HOT SPRINGS, ID 83246
(208) 776-5202
(208) 776-5614
Mailing address
PO BOX 2377, POCATELLO, ID 83206-2377
(208) 232-7862
(208) 232-7869
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
NP367A
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NPLU9
BLUE CROSS - AM FALLS
ID
01
—
NPLV6
BLUE CROSS - DOWNEY
ID
01
—
NPLW4
BLUE CROSS OF ID - LAVA
ID
01
—
NPLX2
BLUE CROSS - ABERDEEN
ID
01
—
NPLY0
BLUE CROSS - POCATELLO
ID
01
—
NPYJ3
BLUE CROSS - MCCAMMON
ID
Enumeration date
08/22/2005
Last updated
04/16/2008
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