Individual
RACHEL ASHLEY RYAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
3909 E FAIRVIEW AVE STE 100, MERIDIAN, ID 83642-5809
(208) 283-9376
Mailing address
3170 S ANNETT AVE, BOISE, ID 83705-4206
(208) 283-9376
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
F04210326
ID
Other
Enumeration date
04/29/2021
Last updated
04/29/2021
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