NURUDEEN IBRAHIM NP NPI 1417655713

NPI Information

NPI: 1417655713
Provider Name: NURUDEEN IBRAHIM, NP
Classification: Nurse Practitioner - 363LG0600X
Entity Type: Individual

Specialization: Gerontology

PECOS Registration: Yes

Address:
999 N CURTIS RD STE 415
BOISE, ID
ZIP 83706
Phone: (208) 302-2600
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Nurudeen Ibrahim, NP is a gerontology nurse practitioner in Boise, ID with 4 years of experience. Nurudeen Ibrahim, NP NPI is 1417655713. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

999 N CURTIS RD STE 415
BOISE, ID
ZIP 83706-334
Phone: (208) 302-2600
Fax: (208) 302-2625

The NPI 1417655713 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 2/16/2023 and was last updated on 6/2/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LA2100X	Nurse Practitioner	Acute Care	75389	IDAHO	No
2	363LG0600X	Nurse Practitioner	Gerontology	75389	IDAHO	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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