Individual provider · Type 1 NPI
Mary Ryder, RN, BSN
Diabetes Educator Registered Nurse · Boise, ID
NPI number
1679008338
Active
Practice location
190 E Bannock St
Boise, ID 83712-6241
Mailing address
645 Parfet St
Lakewood, CO 80215-5574
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 1646050 (CO) |
| Diabetes Educator Registered Nurse Primary | 163WD0400X | 67040 (ID) |
Diabetes Educator Registered Nurse: Definition to come...
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About NPI 1679008338
Mary Ryder, RN, BSN's National Provider Identifier is 1679008338, issued on May 1, 2017. The primary taxonomy on file is Diabetes Educator Registered Nurse (163WD0400X), and the practice location is in Boise, ID. The record was last updated on Feb 3, 2021.