Individual provider · Type 1 NPI
Kylie J. Rush
Nurse Practitioner · Eagle, ID
Practice location
868 E Riverside Dr Ste 270
Eagle, ID 83616-6121
Fax (208) 549-7880
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | 4581932 (ID) |
| Nurse Practitioner Primary | 363L00000X | 4581932 (ID) |
Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…
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About NPI 1124932629
Kylie J. Rush's National Provider Identifier is 1124932629, issued on Sep 30, 2026. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Eagle, ID. The record was last updated on Sep 30, 2026.