Individual provider · Type 1 NPI

Heather Ann Stafford, NP-C

Adult Health Nurse Practitioner · Boise, ID

NPI number 1912416413 Active

Practice location

500 W Fort St
Boise, ID 83702-4501

Mailing address

4433 E Switzer Way
Nampa, ID 83686-3014

Other practice locations

  • 4433 E Switzer Way, Nampa, ID 83686-3014 · (208) 871-3212

Specialties and licenses

TaxonomyCodeLicense
Gerontology Nurse Practitioner 363LG0600X66533 (ID)
Adult Health Nurse Practitioner Primary 363LA2200X66533 (ID)

Adult Health Nurse Practitioner: Definition to come...

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About NPI 1912416413

Heather Ann Stafford, NP-C's National Provider Identifier is 1912416413, issued on Sep 27, 2017. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Boise, ID. The record was last updated on Jul 21, 2022.