Individual provider · Type 1 NPI

Stacey Lynn Adan, CST

Surgical Assistant · Boise, ID

NPI number 1962367029 Active

Practice location

8800 W Emerald St
Boise, ID 83704-8205

Call (208) 373-5000 Map

Mailing address

16 S Bingham St
Nampa, ID 83651-7650

Specialties and licenses

TaxonomyCodeLicense
Surgical Assistant Primary 246ZC0007XNone listed

Surgical Assistant: A surgical assistant is a skilled practitioner who has undergone formalized education and training as a surgical assistant. The surgical assistant performs surgical functions that include, but are not limited to: retracting, manipulating, suturing, clamping, cauterizing, litigating, and tying tissue; suctioning, irrigating and sponging; positioning the patient; closure of body planes and skin; and participating in h…

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About NPI 1962367029

Stacey Lynn Adan, CST's National Provider Identifier is 1962367029, issued on Dec 22, 2025. The primary taxonomy on file is Surgical Assistant (246ZC0007X), and the practice location is in Boise, ID. The record was last updated on Feb 22, 2026.