Stolworthy, Heather A
Stolworthy, Heather A is an sole proprietor health care provider with primary practice located at 524 Cleveland Blvd. Ste 110, Caldwell ID 83605. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Stolworthy, Heather A can be contacted via phone (573) 814-1170.Contact Information
Primary practice address
524 Cleveland Blvd. Ste 110
Caldwell ID 83605
Phone: (573) 814-1170
Fax: (208) 287-0423
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | N23882 | Idaho |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | NP610 | Idaho |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | F0703081 | Idaho |
Profile Details
| NPI number | 1487623179 |
|---|---|
| LBN Legal business name | Stolworthy, Heather A |
| Credentials | Family Nurse Practitioner (FNP) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 15th, 2006 |
| Last updated | May 20th, 2024 - about last year |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1487623179 | NPPES |
| Idaho | MEDICAID | 806691000 |
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