Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Nurudeen Ibrahim, NP

Individual provider Acute Care Nurse Practitioner · NPI 1417655713

Nurudeen Ibrahim, NP is a Nurse Practitioner in Boise, Idaho. Qualified in 2020, 6 years ago. Practices with Saint Alphonsus Regional Medical Center Inc, a 673-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Idaho.

Years since qualifying
6
Licensed in
ID
In the registry since
2023
Specialties on file
2
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

999 N Curtis Rd Ste 415
Boise, ID 83706-1334
Phone: (208) 302-2600
Fax: (208) 302-2625
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 133 S Baraya Way, Meridian, ID 83642-5408 — (208) 867-6801

Specialties & licences

Gerontology Nurse Practitioner (primary) Taxonomy 363LG0600X · Licence 75389 (ID)
Acute Care Nurse Practitioner Taxonomy 363LA2100X · Licence 75389 (ID)

Record details

NPI number1417655713
Entity typeIndividual (Type 1)
GenderMale
Credentials NP
Sole proprietorNo
NPI enumeratedFebruary 16, 2023
Last updated in NPPESJune 2, 2023
Certification dateJune 2, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Saint Alphonsus Regional Medical Center Inc — 673 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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