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Individual

MRS. JOANN W RULIEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
746 N COLLEGE RD, SUITE D, TWIN FALLS, ID 83301-3486
(208) 814-7230
(208) 734-1178
Mailing address
746 N COLLEGE RD, SUITE D, TWIN FALLS, ID 83301-3486
(208) 814-7230
(208) 734-1178

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
NP711A
ID

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
NP711A
IDAHO LICENSE
ID
Enumeration date
09/20/2005
Last updated
04/09/2013
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