Individual provider · Type 1 NPI
Bernadette Ruddock, CNP
Family Nurse Practitioner · Nampa, ID
NPI number
1730979675
Active
Practice location
840 W Tooele Dr
Nampa, ID 83686-8743
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 2771653 (ID) |
| Family Nurse Practitioner | 363LF0000X | APRN11039380 (FL) |
Family Nurse Practitioner: Definition to come...
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About NPI 1730979675
Bernadette Ruddock, CNP's National Provider Identifier is 1730979675, issued on May 12, 2025. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Nampa, ID. The record was last updated on May 12, 2025.