Individual
DR. RYAN NATHANIEL BOPP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP-C
Contact information
Practice address
510 N 2ND ST STE 103, BOISE, ID 83702-6081
(208) 381-4700
(208) 381-4977
Mailing address
190 E BANNOCK ST, BOISE, ID 83712-6241
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
7871063
ID
363LF0000X
Family Nurse Practitioner
Primary
7871063
ID
Other
Enumeration date
01/12/2026
Last updated
03/11/2026
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