Search › Idaho › 235Z00000X
Blake Edes
NPI 1184194789 · on the registry since 2018
Practice
- Address
- 13075 W Persimmon Ln Ste 120
Boise, ID 83713 - Phone
- (208) 793-7006
- Fax
- (208) 793-7007
- Clinicians at this address
- 3
Additional practice sites
- 101 11th Ave S Ste 155, Nampa, ID
- 7091 W Emerald St, Boise, ID
Registry record
- Primary taxonomy
- 235Z00000X
235Z00000X
- Licence states on file
- ID
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2020-03-31
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho