Individual
RUTH SIOBHAN DEKKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.N., F.N.P.
Contact information
Practice address
777 HOSPITAL WAY, G15, POCATELLO, ID 83201-5175
(208) 239-2722
(208) 239-3754
Mailing address
777 HOSPITAL WAY, G15, POCATELLO, ID 83201-5175
(208) 239-2722
(208) 239-3754
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
NP14807
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NP14807
LICENSE
CA
Enumeration date
03/15/2007
Last updated
01/27/2015
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