Search › Idaho › 367500000X
Tanner Trumble
NPI 1003767294 · on the registry since 2026 · sole proprietor
Practice
- Address
- 4815 W Richardson St
Boise, ID 83705 - Phone
- (307) 871-4422
Registry record
- Primary taxonomy
- 367500000X
367500000X
- Also registered as
- 390200000X
- Licence states on file
- ID
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2026-06-26
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho