Ryder, Renee B.

Ryder, Renee B. is an individual health care provider with primary practice located at 223 16Th Ave N , Nampa ID 83687-4058. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Ryder, Renee B. can be contacted via phone (208) 466-7869.

Contact Information

Primary practice address
223 16Th Ave N Nampa ID 83687-4058
Phone: (208) 466-7869
Fax: (208) 466-5359
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X NP364A Idaho
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 3743 Wisconsin

Profile Details

NPI number 1982696050
LBN Legal business name Ryder, Renee B.
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 16th, 2005
Last updated Mar 24th, 2015 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1982696050 NPPES
Wisconsin MEDICAID APPR

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