IndividualActive
Heather Stafford, NP-C
NPI 1912416413 · Adult Health Nurse Practitioner · Boise, ID
Provider details
- NPI number
- 1912416413
- Entity type
- Individual
- Primary specialty
- Adult Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- NP-C
- Sex
- Female
- Sole proprietor
- No
- License
- 66533 (ID)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Practice location
500 W Fort St
Boise, ID 83702-4501
Phone: (208) 422-1000
Approximate (ZIP-level) locationGet directions
Mailing address
4433 E Switzer Way
Nampa, ID 83686-3014
Additional practice locations (1)
- 4433 E Switzer WayNampa, ID 83686-3014Phone: (208) 871-3212
Registry dates
- Enumerated
- 2017-09-27
- Last updated
- 2022-07-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.