Individual
DESIRE MICHELLE STEWART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6051 W EMERALD ST, BOISE, ID 83704-8969
(208) 302-5150
(205) 302-5155
Mailing address
PO BOX 190930, BOISE, ID 83719-0930
(208) 367-5170
(208) 367-5180
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
202007769RN
OR
163WC0400X
Case Management Registered Nurse
58334
ID
163WE0003X
Emergency Registered Nurse
515734
CA
363LF0000X
Family Nurse Practitioner
Primary
2371282
ID
Other
Enumeration date
06/13/2025
Last updated
12/09/2025
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