Individual provider · Type 1 NPI

Nurudeen Ibrahim, NP

Gerontology Nurse Practitioner · Boise, ID

NPI number 1417655713 Active

Practice location

999 N Curtis Rd Ste 415
Boise, ID 83706-1334

Fax (208) 302-2625

Mailing address

PO Box 190930
Boise, ID 83719-0930

Other practice locations

  • 133 S Baraya Way, Meridian, ID 83642-5408 · (208) 867-6801

Specialties and licenses

TaxonomyCodeLicense
Acute Care Nurse Practitioner 363LA2100X75389 (ID)
Gerontology Nurse Practitioner Primary 363LG0600X75389 (ID)

Gerontology Nurse Practitioner: Definition to come...

21 other providers at this address

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About NPI 1417655713

Nurudeen Ibrahim, NP's National Provider Identifier is 1417655713, issued on Feb 16, 2023. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Boise, ID. The record was last updated on Jun 2, 2023.