Individual provider · Type 1 NPI

Stephanie Marria, BSN

Pediatric Nurse Practitioner · Boise, ID

NPI number 1124544192 Active

Practice location

305 E Jefferson St
Boise, ID 83712-6231

Fax (208) 345-1142

Mailing address

190 E Bannock St
Boise, ID 83712-6241

Other practice locations

  • 325 9th Ave, Seattle, WA 98104-2420 · (206) 744-1699

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000XRN60583927 (WA)
Pediatric Nurse Practitioner Primary 363LP0200X70203 (ID)

Pediatric Nurse Practitioner: Definition to come...

74 other providers at this address

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About NPI 1124544192

Stephanie Marria, BSN's National Provider Identifier is 1124544192, issued on Aug 21, 2017. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Boise, ID. The record was last updated on Jul 8, 2024.