Search › Idaho › 101YM0800X
Heidi Stark
NPI 1356959787 · on the registry since 2020 · sole proprietor
Practice
- Address
- 4024 Ivy Dr
Nampa, ID 83686 - Phone
- (208) 890-3864
Registry record
- Primary taxonomy
- 101YM0800X
101YM0800X
- Also registered as
- 106H00000X
- Licence states on file
- ID
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2020-07-22
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho