| Dr Ryan Nathaniel Bopp, NP-C | |
|
4971 W Overland Rd, Boise, ID 83705-2822 | |
| (208) 472-5050 | |
| (208) 472-5051 |
| Full Name | Dr Ryan Nathaniel Bopp |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 1 Years |
| Location | 4971 W Overland Rd, Boise, Idaho |
| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588522189 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LA2200X | Nurse Practitioner - Adult Health | 7871063 (Idaho) | Secondary |
| 363L00000X | Nurse Practitioner | 7871063 (Idaho) | Primary |
| Entity Name | St Lukes Clinic-treasure Valley LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1326336058 PECOS PAC ID: 4981878402 Enrollment ID: O20111119000045 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Ryan Nathaniel Bopp, NP-C Po Box 191050, Boise, ID 83719-1050 Ph: (208) 955-6500 | Dr Ryan Nathaniel Bopp, NP-C 4971 W Overland Rd, Boise, ID 83705-2822 Ph: (208) 472-5050 |
Nora M Suarez, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 190 E Bannock St, Boise, ID 83712 Phone: 208-381-2222 |
Elizabeth Hingley, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 460 W Sandstone Ct, Boise, ID 83702 Phone: 662-889-0513 Fax: 863-228-8587 |
Dr. Nancy Jane L'heureux, DNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2273 S Vista Ave Ste 190, Boise, ID 83705 Phone: 208-343-2737 Fax: 208-342-3238 |
Jennifer Woodburn, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 190 E Bannock St, Boise, ID 83712 Phone: 208-381-5015 |
Carl Ciplinski, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 10583 W Lake Hazel Rd, Boise, ID 83709 Phone: 208-302-5950 |
Kathryn Laura Cnossen, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 8000 S Federal Way, Boise, ID 83716 Phone: 208-368-2109 |
Mrs. Chelsea Rose Wallace, RN, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 9976 W Emerald St, Boise, ID 83704 Phone: 208-229-3742 |