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Contact Information

RYAN N BOPP, NP-C
510 N 2ND ST STE 103
BOISE, ID83702-6081
 Phone: 208-381-4700
 Fax: 208-381-4977
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
 

Adult Health

363LA2200X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for RYAN N BOPP · (Male)

NPI # 1588522189
Status Active
Credentials NP-C (Nurse Practitioner - Certified)
Entity Individual
Enumeration date 01/12/2026
Last updated 03/11/2026 - About 3 months ago
Sole proprietor 1 Yes
Identifiers
  • ID License # 7871063
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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