IndividualActive
Staci Thomas, WHNP-BC
NPI 1013739838 · Women's Health Nurse Practitioner · Boise, ID
Provider details
- NPI number
- 1013739838
- Entity type
- Individual
- Primary specialty
- Women's Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- WHNP-BC
- Sex
- Female
- Sole proprietor
- No
- License
- 5961472 (ID)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
100 E Idaho St Ste 302
Boise, ID 83712-6269
Phone: (208) 343-7501
Fax: (208) 336-8248
Approximate (ZIP-level) locationGet directions
Mailing address
190 E Bannock St
Boise, ID 83712-6241
Registry dates
- Enumerated
- 2024-10-31
- Last updated
- 2024-11-12
- Certified
- 2024-11-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.