Individual
STEPHANIE ADAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
500 W FORT ST, BOISE, ID 83702-4501
(208) 841-0917
Mailing address
3030 N MAYWOOD AVE, BOISE, ID 83704-5682
(208) 761-4147
Taxonomy
Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
Primary
26936
ID
Other
Enumeration date
10/28/2022
Last updated
10/28/2022
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