Mary J Stackle, NP is a psychiatric/mental health nurse practitioner in Boise, ID with 15 years of experience. Mary J Stackle, NP NPI is 1841522661. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a female.
The provider's business location address is:
8050 W NORTHVIEW ST
BOISE, ID
ZIP 83704-126
Phone: (208) 327-0504
The NPI 1841522661 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 2/3/2010 and was last updated on 2/3/2010.