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Edith Roe, NP-BC — NPI 1831667468, Homedale, ID | NPI Central

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NPI 1831667468

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Edith Roe, NP-BC

NPI 1831667468 · Adult Health Nurse Practitioner · Homedale, ID

Provider details

NPI number: 1831667468
Entity type: Individual
Primary specialty: Adult Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Credential: NP-BC
Sex: Female
Sole proprietor: Yes
License: 201910193NP (OR)

Specialties & taxonomies

Adult Health Nurse PractitionerPrimary363LA2200XLicense 60044 (ID)
Physician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner363L00000XLicense 201910193NP (OR)
Physician Assistants & Advanced Practice Nursing Providers

Practice location

126 W Idaho Ave

Homedale, ID 83628-0037

Phone: (208) 337-7038

Approximate (ZIP-level) locationGet directions

More ID providers

Mailing address

126 W. Idaho Ave

Homedale, ID 83628

Additional practice locations (1)

24900 Market Rd
Parma, ID 83660
Phone: (208) 859-4103

Registry dates

Enumerated: 2018-11-13
Last updated: 2020-04-21
Certified: 2020-04-21

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.