P Praxis·MD
● Active Type 1 · Individual

Nurudeen Ibrahim, NP

Nurse Practitioner·Boise, ID· NPI 1417655713 · Enumerated 2023 · 3 years on NPI
Ibrahim is 1 of 15 nurse practitioner providers in Boise and 1 of 39 in Idaho.
NPI age
3 years
Enumerated 2023-02-16
Primary specialty
Nurse Practitioner
Plus 1 subspecialty
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2023-06-02
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 39 active nurse practitioner providers in Idaho.

NPI age
3 years
↓ 2 yr below median (5 yr)
State licenses
1 state
17% of peers hold multiple states
Subspecialties
1
In the 48% of peers with subspecialties

NPI lifetime · 2023 → 2026

2023-02Enumerated in NPPES
2023 2026

Where they practice

Practice location
999 N Curtis Rd Ste 415
Boise, ID 837061334
📞 2083022600fax 2083022625
Mailing address
Po Box 190930
Boise, ID 837190930
📞 2083675170fax 2083675180

Additional practice locations

1 secondary location on file with NPPES.

Location 2
133 S Baraya Way
Meridian, ID 836425408
📞 2088676801

Specialties

  • Nurse Practitioner Primary
    Definition to come...
    ID license #75389 taxonomy 363LG0600X
  • Nurse Practitioner
    Definition to come...
    ID license #75389 taxonomy 363LA2100X

Practice context

Part of a multi-provider practice. 22 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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