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SUZANNE KEELE EDELMAN ANP
NPI 1164628442
Nurse Practitioner - Psychiatric/Mental Health in Moore, ID

Active since June 25, 2007
4702 W CHERRY CREEK ROAD, MOORE, ID 83255(208) 554-2006 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Suzanne Keele Edelman Anp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SUZANNE KEELE EDELMAN ANP (NPI 1164628442) is an individual psychiatric/mental health provider in Moore, Idaho, licensed in Idaho (NP-325A) and active in the NPI registry since June 2007.

NPPES Registry Identity

NPI1164628442
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameSUZANNE KEELE EDELMANCredential: ANP
Location Address4702 W CHERRY CREEK ROADMoore, ID 83255
Mailing Address421 Memorial DrPocatello, ID 83201-4008 · (208) 554-2006
Phone(208) 554-2006
Sole ProprietorNo
Enumeration DateJune 25, 2007
Last NPPES UpdateSeptember 11, 2025
✔ NPI 1164628442 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in ID · NP-325A
Also ListedNurse Practitioner · Community HealthTaxonomy 363LC1500X · License NP-325A (ID)
4702 W CHERRY CREEK ROAD, Moore, ID 83255
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Other Identifiers 3

OtherNP-325AID · Anp License
OtherN-10732ID · Rn License
OtherME1563990ID · Controlled Substance Reg.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Suzanne Edelman's NPI number?

The NPI number for Suzanne Edelman is 1164628442. It was assigned to this individual provider in the NPPES registry on June 25, 2007.

Where is Suzanne Edelman located?

Suzanne Edelman practices at 4702 W Cherry Creek Road, Moore, ID 83255. The listed phone number is (208) 554-2006.

What is Suzanne Edelman's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Suzanne Edelman was last updated on September 11, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.