P Praxis·MD
● Active Type 2 · Organization

Idaho County Dermatology, Pllc

Nurse Practitioner·Grangeville, ID· NPI 1922835859 · Enumerated 2024 · 1 years on NPI
Idaho County Dermatology, Pllc is 1 of 658 nurse practitioner organizations in Idaho.
NPI age
1 years
Enumerated 2024-09-16
Primary specialty
Nurse Practitioner
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Rendo
Owner/provider
Last NPPES update
2025-02-07
Source: monthly bulk 2026-05

How this organization compares

Across 658 active nurse practitioner providers in Idaho.

NPI age
1 years
↓ 7 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2024 → 2026

2024-09Enumerated in NPPES
2024 2026

Where they practice

Primary practice location
113 S A St
Grangeville, ID 835301428
📞 2086956668
Mailing address
113 S A St
Grangeville, ID 835301428
📞 2087174940fax 2087174990

Authorized official

Jeanna Rendo, NP-C
Owner/provider
📞 2086956668

Individual providers at this organization

1 individual provider on file at this primary practice address.

Specialties

  • Nurse Practitioner Primary
    (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum...
    taxonomy 363L00000X

Practice context

Multi-provider organization. 1 individual provider on file at this primary address.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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