NPI age
19 years
Enumerated 2007-02-02
● Active
Type 1 · Individual
Judy A Metelko, CNS,ARNP
Metelko is 1 of 1 clinical nurse specialist providers in Lewiston and 1 of 3 in Idaho.
Primary specialty
Clinical Nurse Specialist
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2007-07-09
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 3 active clinical nurse specialist providers in Idaho.
NPI age
19 years
≈ at median (19 yr)
State licenses
1 state
0% of peers hold multiple states
Subspecialties
0
0% of peers hold subspecialties
NPI lifetime · 2007 → 2026
2007-02Enumerated in NPPES
2007
2026
Where they practice
Practice location
415 6th St
Lewiston, ID 835012431
Mailing address
415 6th St
Lewiston, ID 835012431
Specialties
-
Clinical Nurse Specialist PrimaryDefinition to come...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (WA) | 9627472 | |
| 01 (ID) | HBUR5 | IDAHO BLUE CROSS IND |
| 05 (ID) | 805366200 | |
| 01 (ID) | 8C576 | BLUE CROSS OF IDAHO |
| 01 (ID) | 10017766 | REGENCE OF IDAHO |
Practice context
Part of a multi-provider practice. 119 other active providers share this practice address in NPPES.
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