IndividualActive
Kathryn Sisterman, DNP
NPI 1942485891 · Gerontology Nurse Practitioner · Boise, ID
Provider details
- NPI number
- 1942485891
- Entity type
- Individual
- Primary specialty
- Gerontology Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- DNP
- Sex
- Female
- Sole proprietor
- No
- License
- 643423 (CA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Nursing Service Providers
Nursing Service Providers
Nursing Service Providers
Physician Assistants & Advanced Practice Nursing Providers
Practice location
1055 N Curtis Rd
Boise, ID 83706-1309
Phone: (208) 367-2121
Approximate (ZIP-level) locationGet directions
Mailing address
3340 E Goldstone Way
Meridian, ID 83642
Registry dates
- Enumerated
- 2008-01-09
- Last updated
- 2018-08-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.