SearchIdaho363LF0000X

Bernadette Ruddock, CNP

NPI 1730979675 · on the registry since 2025 · sole proprietor

Practice

Address
840 W Tooele Dr
Nampa, ID 83686
Phone
(208) 283-5981

Registry record

Primary taxonomy
363LF0000X
363LF0000X
Also registered as
363LF0000X
Licence states on file
ID, FL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2025-05-12

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho