Nurse Practitioner
ELMER DODGE FNP
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1508918236 · enumerated 2007-01-16 · record updated 2020-09-01. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Addresses and phones
- Practice location 9858 W STATE ST, STAR, ID, 83669-5210 (208) 286-0666 Fax (208) 286-0565 Google Maps Apple Maps OpenStreetMap
- Mailing address PO BOX 44267, BOISE, ID, 83711-0267 (208) 286-0666 Fax (208) 286-0565 Google Maps Apple Maps OpenStreetMap
Specialties
- Registered Nurse, General Practice 163WG0000X · License NP534A ID
- Nurse Practitioner 363L00000X · Primary · License NP-534A ID
In this directory
Locations and evidence
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Practice location
STAR, ID, 836695210
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.