NPI 1457966764 · live from the CMS NPI Registry
Ryan T Armbruster, LMSW
Social Worker, Clinical in Meridian, ID. National Provider Identifier 1457966764, active.
NPI record
| NPI | 1457966764 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Social Worker, Clinical 1041C0700X |
| Practice location | 3071 E Franklin Rd # 201, Meridian, ID 83642 |
| Practice phone | 208-807-2877 |
| Mailing address | 1680 N Phillippi St Apt 204, Boise, ID 83706 |
| Enumerated | September 14, 2020 |
| Last updated | September 17, 2020 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Social Worker | 104100000X | 39918 (ID) |
| Social Worker, Clinical primary | 1041C0700X | 39918 (ID) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.