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

Stephanie Ciesla, PNP

Individual provider Pediatric Nurse Practitioner · NPI 1902156920

Stephanie Ciesla, PNP is a Pediatric Nurse Practitioner in Boise, Idaho. Works from 2 locations. Licensed in District of Columbia, Idaho and Maryland.

Licensed in
DC, ID, MD
In the registry since
2012
Specialties on file
3
What do these letters mean?
PNP — Pediatric Nurse Practitioner
A nurse practitioner specialising in children.

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Practice location Address checks out

190 E Bannock St
Boise, ID 83712-6241
Phone: (208) 381-2074
Show map & directions

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

Additional practice locations (1)

  • 111 Michigan Ave Nw, Washington, DC 20010-2916 — (202) 476-4450

Specialties & licences

Pediatric Nurse Practitioner (primary) Taxonomy 363LP0200X · Licence 59279 (ID)
Pediatric Nurse Practitioner Taxonomy 363LP0200X · Licence R202541 (MD)
Pediatric Nurse Practitioner Taxonomy 363LP0200X · Licence RN1021113 (DC)

Record details

NPI number1902156920
Entity typeIndividual (Type 1)
GenderFemale
Credentials PNP
Sole proprietorNo
NPI enumeratedSeptember 18, 2012
Last updated in NPPESJuly 11, 2025
Certification dateJuly 11, 2025

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