Individual
BERNADETTE RUDDOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
840 W TOOELE DR, NAMPA, ID 83686-8743
(208) 283-5981
Mailing address
840 W TOOELE DR, NAMPA, ID 83686-8743
(208) 283-5981
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2771653
ID
363LF0000X
Family Nurse Practitioner
APRN11039380
FL
Other
Enumeration date
05/12/2025
Last updated
05/12/2025
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