NPI 1003121021
Christie Stephenson
Practice location
- Address
- 847 Parkcentre Way Suite 5, Nampa, ID 83651-1792
- Phone
- (208) 703-9771
- Fax
- (208) 247-4312
- Mailing address
- 2422 12th Ave Rd 143, Nampa, ID 83686-6300
Registered specialties
Community/Behavioral Health Agency
Primary
Registry record
- NPI
- 1003121021
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 13 Aug 2010
- Record last updated
- 13 Aug 2010
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.