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Stephanie Ciesla, PNP — NPI 1902156920, Boise, ID | NPI Central

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NPI 1902156920

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Stephanie Ciesla, PNP

NPI 1902156920 · Pediatric Nurse Practitioner · Boise, ID

Provider details

NPI number: 1902156920
Entity type: Individual
Primary specialty: Pediatric Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Credential: PNP
Sex: Female
Sole proprietor: No
License: R202541 (MD)

Specialties & taxonomies

Pediatric Nurse PractitionerPrimary363LP0200XLicense 59279 (ID)
Physician Assistants & Advanced Practice Nursing Providers
Pediatric Nurse Practitioner363LP0200XLicense R202541 (MD)
Physician Assistants & Advanced Practice Nursing Providers
Pediatric Nurse Practitioner363LP0200XLicense RN1021113 (DC)
Physician Assistants & Advanced Practice Nursing Providers

Practice location

190 E Bannock St

Boise, ID 83712-6241

Phone: (208) 381-2074

Approximate (ZIP-level) locationGet directions

More ID providers

Mailing address

190 E Bannock St

Boise, ID 83712-6241

Additional practice locations (1)

111 Michigan Ave Nw
Washington, DC 20010-2916
Phone: (202) 476-4450

Registry dates

Enumerated: 2012-09-18
Last updated: 2025-07-11
Certified: 2025-07-11

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.