P Praxis·MD
● Active Type 1 · Individual

Bobbi Fuller, DNP

Nurse Practitioner·Emmett, ID· NPI 1730798695 · Enumerated 2020 · 5 years on NPI
Fuller is 1 of 9 nurse practitioner providers in Emmett and 1 of 1280 in Idaho.
NPI age
5 years
Enumerated 2020-07-27
Primary specialty
Nurse Practitioner
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2022-11-01
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
5 years
↓ 2 yr below median (7 yr)
State licenses
1 state
13% of peers hold multiple states
Subspecialties
0
27% of peers hold subspecialties

NPI lifetime · 2020 → 2026

2020-07Enumerated in NPPES
2020 2026

Where they practice

Practice location
709 S. Washington Ave, Suite B
Emmett, ID 83617
📞 2087408808
Mailing address
709 S. Washington Ave, Suite B
Emmett, ID 83617
📞 2087408808

Specialties

  • Nurse Practitioner Primary
    Definition to come...
    ID license #55108 taxonomy 363LF0000X

Practice context

Solo or small practice. No 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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