Idaho County Dermatology, PLLC
Idaho County Dermatology, PLLC is a Nurse Practitioner in Grangeville, Idaho. Registered with an NPI since 2024.
- In the registry since
- 2024
What do these letters mean?
- PLLC — Professional limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
113 S A StGrangeville, ID 83530-1428
Phone: (208) 695-6668
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Nurse Practitioner (primary) | Taxonomy 363L00000X |
|---|
Record details
| NPI number | 1922835859 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Jeanna Rendo — Owner/Provider · (208) 695-6668 |
| NPI enumerated | September 16, 2024 |
| Last updated in NPPES | February 7, 2025 |
| Certification date | February 7, 2025 |
| Mailing address | 113 S A St, Grangeville, ID 83530-1428 |
Other providers in Grangeville
-
William Mark Imus Jr., FNP
610 NW 2nd St, Grangeville, ID 83530-1244 · (208) 983-5120