Stephanie Larie Thompson, NP
Nurse Practitioner, Gerontology in Boise, ID. Individual provider (NPI-1).
NPI number1669901245
StatusActive
Last updated in NPPESMar 8, 2023
Details
- NPI
- 1669901245
- Entity type
- Individual (NPI-1)
- Name
- Stephanie Larie Thompson
- Credential
- NP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 7, 2017
- Certification date
- Mar 8, 2023
- Last updated
- Mar 8, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LG0600X | Nurse Practitioner, Gerontology | 55369 | ID | Yes |
Practice location
500 W Fort StBoise, ID 83702
Phone 208-422-1000 · Fax 208-302-5455
Mailing address
500 W Fort StBoise, ID 83702
Phone 208-422-1000 · Fax 208-302-5455
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All 15 Gerontology Nurse Practitioner providers in Boise · All 12,265 providers in Boise
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