Individual
JARED T RYE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
1510 12TH AVENUE RD, STE 200, NAMPA, ID 83686
(208) 302-0600
(208) 302-0755
Mailing address
3340 E GOLDSTONE WAY, MERIDIAN, ID 83642-1026
(208) 302-0600
(208) 302-0755
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
NP-889A
ID
Other
Enumeration date
12/04/2008
Last updated
12/20/2019
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