MEDICARE: RENEE B. RYDER NP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	NP364A	ID
2	363LF0000X	Family Nurse Practitioner	3743	WI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1982696050
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RENEE B. RYDER NP

Provider Business Mailing Address
First Line	:	211 16TH AVE N
Second Line	:
City	:	NAMPA
State	:	ID
Zip	:	83687-4058
Country	:	US
Telephone Number	:	208-467-7684
Fax Number	:	208-467-7684

Provider Business Practice Location Address
First Line	:	223 16TH AVE N
Second Line	:
City	:	NAMPA
State	:	ID
Zip	:	83687-4058
Country	:	US
Telephone Number	:	208-466-7869
Fax Number	:	208-466-5359

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/16/2005
Last Update Date	:	03/24/2015

Similar Medicare Providers

1003819509 — DR. JULIA MARIE JENSEN DO
Practice Location Address:

223 16TH AVE N
NAMPA, ID
83687-4058

Practice Phone: 208-466-7869
Practice Fax: 208-466-5359

1366412595 — MR. DAVID T. FOSS FNP
Practice Location Address:

211 16TH AVE N
NAMPA, ID
83687-4058

Practice Phone: 208-467-4431
Practice Fax:

1457309122 — COMMUNITY HEALTH CLINICS, INC.
Practice Location Address:

223 16TH AVE N
NAMPA, ID
83687-4058

Practice Phone: 208-467-7654
Practice Fax: 208-466-5359

1912956806 — DR. RALENE WIBERG MD
Practice Location Address:

211 16TH AVE N
NAMPA, ID
83687-4058

Practice Phone: 208-461-7149
Practice Fax: 208-467-3391

1811947526 — MS. SHARON M BALDWIN CNS
Practice Location Address:

207 16TH AVE N
NAMPA, ID
83687-4058

Practice Phone: 208-467-7654
Practice Fax: 208-318-1391

1053351361 — STUART BLACK M.D.
Practice Location Address:

223 16TH AVE N
NAMPA, ID
83687-4058

Practice Phone: 208-466-7869
Practice Fax: 208-466-5359

Directions to “ RENEE B. RYDER NP” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.