Individual
SAMANTHA J RUGGLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
3525 E LOUISE DR, MERIDIAN, ID 83642-6302
(208) 381-7312
(208) 381-7313
Mailing address
190 E BANNOCK ST, BOISE, ID 83712-6241
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
60433
ID
Other
Enumeration date
01/29/2024
Last updated
03/19/2025
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