Individual
RENEE B. RYDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
223 16TH AVE N, NAMPA, ID 83687-4058
(208) 466-7869
(208) 466-5359
Mailing address
211 16TH AVE N, NAMPA, ID 83687-4058
(208) 467-7684
(208) 467-7684
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
3743
WI
363LF0000X
Family Nurse Practitioner
Primary
NP364A
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
APPR
—
WI
Enumeration date
08/16/2005
Last updated
03/24/2015
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