Individual
RUTH K CAMPBELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
500 W FORT ST, BOISE, ID 83702-4501
(208) 422-1326
Mailing address
500 W FORT ST, BOISE, ID 83702-4501
(208) 422-1325
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
NP-435A
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
806145400
—
ID
Enumeration date
10/12/2006
Last updated
09/15/2022
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