Provider Demographics
NPI:1366137705
Name:RUFFO, DARCY DEE (PMHNP-BC)
Entity type:Individual
Prefix:
First Name:DARCY
Middle Name:DEE
Last Name:RUFFO
Suffix:
Gender:F
Credentials:PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1250 W IRONWOOD DR STE 333
Mailing Address - Street 2:
Mailing Address - City:COEUR D ALENE
Mailing Address - State:ID
Mailing Address - Zip Code:83814-2682
Mailing Address - Country:US
Mailing Address - Phone:208-626-2433
Mailing Address - Fax:
Practice Address - Street 1:1250 W IRONWOOD DR STE 333
Practice Address - Street 2:
Practice Address - City:COEUR D ALENE
Practice Address - State:ID
Practice Address - Zip Code:83814-2682
Practice Address - Country:US
Practice Address - Phone:208-626-2433
Practice Address - Fax:888-325-5656
Is Sole Proprietor?:No
Enumeration Date:2023-04-11
Last Update Date:2024-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ID67720163WP0808X, 363LP0808X
WARN61222156163WP0808X
WAAP61415809363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
21863175OtherNATIONAL COUNCIL OF STATE BOARDS OF NURSING (NCSBN)
2023018592OtherAMERICAN NURSES CREDENTIALING CENTER