SearchIdaho363L00000X

Stacy Hackenmiller, FNP

NPI 1497623789 · on the registry since 2025

Practice

Address
100 E Idaho St Ste 400
Boise, ID 83712
Phone
(208) 381-4171
Fax
(208) 381-4172
Organisation at this address
Woman'S Clinic
Ob-Gyn Center Pa
Pediatric Surgery Of Idaho
Jonathan Kramer, M.D., Pllc
Mountain States Oncology Group
Inferred from a shared address, not stated in the registry.
Clinicians at this address
212

Additional practice sites

  • 9951 W St Lukes Dr, Nampa, ID

Registry record

Primary taxonomy
363L00000X
363L00000X
Licence states on file
ID
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2025-11-17

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