P Praxis·MD
● Active Type 1 · Individual

MS. Bobbi Annette Bullock, NURSE PRACTITIONER

Nurse Practitioner·Nampa, ID· NPI 1669620506 · Enumerated 2008 · 17 years on NPI
Bullock is 1 of 59 nurse practitioner providers in Nampa and 1 of 1280 in Idaho.
NPI age
17 years
Enumerated 2008-09-04
Primary specialty
Nurse Practitioner
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2014-01-23
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 1280 active nurse practitioner providers in Idaho.

NPI age
17 years
↑ 10 yr above median (7 yr)
State licenses
1 state
13% of peers hold multiple states
Subspecialties
0
27% of peers hold subspecialties

NPI lifetime · 2008 → 2026

2008-09Enumerated in NPPES
2008 2026

Where they practice

Practice location
1611 12th Ave Rd, Suite A
Nampa, ID 836867715
📞 2084689400
Mailing address
1611 12th Ave Rd, Suite A
Nampa, ID 836867715
📞 2084689400

Specialties

  • Nurse Practitioner Primary
    Definition to come...
    ID license #NP-879A taxonomy 363LF0000X

Practice context

Part of a multi-provider practice. 2 other active providers share this practice address in NPPES.

Recently enumerated nearby: 1 new nurse practitioner provider has been added in Nampa in the last 180 days. See all →
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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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