NPI 1548072077
Tyra Darrean Ruberti
Practice location
- Address
- 2840 Juniper Dr, Lewiston, ID 83501-4719
- Phone
- (208) 746-5100
- Fax
- (208) 883-6557
Registered specialties
Hearing Instrument Specialist
Primary
Registry record
- NPI
- 1548072077
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 22 Jan 2025
- Record last updated
- 22 Jan 2025
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.