Staci Jae Thomas, WHNP-BC
Staci Jae Thomas, WHNP-BC is a Nurse Practitioner in Boise, Idaho. Qualified in 2024, 2 years ago. Licensed in Idaho.
- Years since qualifying
- 2
- Licensed in
- ID
- In the registry since
- 2024
Practice location Address checks out
100 E Idaho St Ste 302Boise, ID 83712-6269
Phone: (208) 343-7501
Fax: (208) 336-8248
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Women's Health Nurse Practitioner (primary) | Taxonomy 363LW0102X · Licence 5961472 (ID) |
|---|
Record details
| NPI number | 1013739838 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | WHNP-BC |
| Sole proprietor | No |
| NPI enumerated | October 31, 2024 |
| Last updated in NPPES | November 12, 2024 |
| Certification date | November 12, 2024 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2024 (2 years in practice) |
| Accepts Medicare assignment | Not indicated |
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