Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

MS. Heather Ann Stafford, NP-C

Individual provider Gerontology Nurse Practitioner · NPI 1912416413

MS. Heather Ann Stafford, NP-C is a Nurse Practitioner in Boise, Idaho. Qualified in 2016, 10 years ago. Works from 2 locations. Licensed in Idaho.

Years since qualifying
10
Licensed in
ID
In the registry since
2017
Specialties on file
2
What do these letters mean?
NP-C — Nurse Practitioner, Certified
A nurse practitioner certified by the AANP.

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Practice location Address checks out

500 W Fort St
Boise, ID 83702-4501
Phone: (208) 422-1000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4433 E Switzer Way, Nampa, ID 83686-3014 — (208) 871-3212

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X · Licence 66533 (ID)
Gerontology Nurse Practitioner Taxonomy 363LG0600X · Licence 66533 (ID)

Record details

NPI number1912416413
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP-C
Sole proprietorNo
NPI enumeratedSeptember 27, 2017
Last updated in NPPESJuly 21, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Accepts Medicare assignment Not indicated

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