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

Stacey Lynn Adan, CST

Individual provider Surgical Assistant · NPI 1962367029

Stacey Lynn Adan, CST is a Surgical Assistant in Boise, Idaho. Practices as a sole proprietor. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

8800 W Emerald St
Boise, ID 83704-8205
Phone: (208) 373-5000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Assistant (primary) Taxonomy 246ZC0007X

Record details

NPI number1962367029
Entity typeIndividual (Type 1)
GenderFemale
Credentials CST
Sole proprietorYes
NPI enumeratedDecember 22, 2025
Last updated in NPPESFebruary 22, 2026
Certification dateFebruary 22, 2026
Mailing address16 S Bingham St, Nampa, ID 83651-7650

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