Stafford, Heather Ann

Stafford, Heather Ann is an individual health care provider with primary practice located at 500 W Fort St , Boise ID 83702-4501. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Gerontology, Physician Assistants & Advanced Practice Nursing Providers / Adult Health. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is her primary health care specialty. Stafford, Heather Ann can be contacted via phone (208) 422-1000.

Contact Information

Primary practice address
500 W Fort St Boise ID 83702-4501
Phone: (208) 422-1000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X 66533 Idaho
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 66533 Idaho

Profile Details

NPI number 1912416413
LBN Legal business name Stafford, Heather Ann
Credentials NP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 27th, 2017
Last updated Jul 21st, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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