BERNADETTE RUDDOCK CNP
NPI 1730979675
Nurse Practitioner - Family in Nampa, ID

Q: What is Bernadette Ruddock's NPI number?

The NPI number for Bernadette Ruddock is 1730979675. It was assigned to this individual provider in the NPPES registry on May 12, 2025.

Q: What is Bernadette Ruddock's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Active since May 12, 2025

840 W TOOELE DR, NAMPA, ID 83686(208) 283-5981 Get Directions Write a Review

NPPES record last updated: May 12, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Bernadette Ruddock Cnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BERNADETTE RUDDOCK CNP (NPI 1730979675) is an individual family provider in Nampa, Idaho, licensed in Idaho (2771653) and active in the NPI registry since May 2025.

NPPES Registry Identity

NPI1730979675

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameBERNADETTE RUDDOCKCredential: CNP

Location Address840 W TOOELE DRNampa, ID 83686-8743

Mailing Address840 W Tooele DrNampa, ID 83686-8743 · (208) 283-5981

Phone(208) 283-5981

Sole ProprietorYes

Enumeration DateMay 12, 2025

NPPES CertifiedMay 12, 2025

✔ NPI 1730979675 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

Licenses✔ Licensed in ID · 2771653✔ Licensed in FL · APRN11039380

840 W TOOELE DR, Nampa, ID 83686

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bernadette Ruddock's NPI number?

The NPI number for Bernadette Ruddock is 1730979675. It was assigned to this individual provider in the NPPES registry on May 12, 2025.

Where is Bernadette Ruddock located?

Bernadette Ruddock practices at 840 W Tooele Dr, Nampa, ID 83686. The listed phone number is (208) 283-5981.

What is Bernadette Ruddock's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Bernadette Ruddock was last updated on May 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.