STACY A FITZGERALD CST
NPI 1730247719
in Boise, ID

Active since December 04, 2006
4887 WYMOSA ST, BOISE, ID 83703(208) 890-7984 Get Directions Write a Review

NPPES record last updated: July 20, 2011. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Stacy A Fitzgerald Cst NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

STACY A FITZGERALD CST (NPI 1730247719) is an individual healthcare provider in Boise, Idaho and active in the NPI registry since December 2006.

NPPES Registry Identity

NPI1730247719
Entity TypeIndividualFemale
Primary Taxonomy246ZS0400X
Provider Legal NameSTACY A FITZGERALDCredential: CST
Location Address4887 WYMOSA STBoise, ID 83703-4359
Mailing Address190 E Bannock StBoise, ID 83712 · (208) 890-7984
Sole ProprietorYes
Enumeration DateDecember 4, 2006
Last NPPES UpdateJuly 20, 2011
✔ NPI 1730247719 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary Specialty
Taxonomy Code246ZS0400X
4887 WYMOSA ST, Boise, ID 83703

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Stacy Fitzgerald's NPI number?

The NPI number for Stacy Fitzgerald is 1730247719. It was assigned to this individual provider in the NPPES registry on December 4, 2006.

Where is Stacy Fitzgerald located?

Stacy Fitzgerald practices at 4887 Wymosa St, Boise, ID 83703. The listed phone number is (208) 890-7984.

When was this NPI record last updated?

The NPPES record for Stacy Fitzgerald was last updated on July 20, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.