Elmer G Dodge Jr., FNP
Elmer G Dodge Jr., FNP is a General Practice Registered Nurse in Star, Idaho. Licensed in Idaho. Registered with an NPI since 2007.
- Licensed in
- ID
- In the registry since
- 2007
- Specialties on file
- 2
What do these letters mean?
- FNP — Family Nurse Practitioner
- A nurse practitioner who treats patients of all ages, much like a family doctor.
Practice location Address checks out
9858 W State StStar, ID 83669-5210
Phone: (208) 286-0666
Fax: (208) 286-0565
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Nurse Practitioner (primary) | Taxonomy 363L00000X · Licence NP-534A (ID) |
|---|---|
| General Practice Registered Nurse | Taxonomy 163WG0000X · Licence NP534A (ID) |
Record details
| NPI number | 1508918236 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | FNP |
| Sole proprietor | No |
| NPI enumerated | January 16, 2007 |
| Last updated in NPPES | September 1, 2020 |
| Certification date | September 1, 2020 |
Other providers in Star
-
Star Medical Center PC
9858 W State St, Star, ID 83669-5210 · (208) 286-0666
-
Liliya Yanyk
12635 W Gambrell St, Star, ID 83669-5142 · (208) 912-2892