Stephanie Garrison, RN
Individual provider Active NPI Registered Nurse · Twin Falls, ID
NPI 1104783356 · NPPES record last updated Jan 8, 2026
Key facts
- NPI
- 1104783356
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 9461079 (ID)
- Practice address
- 608 Shoup Ave W
Twin Falls, ID 83301-4550 - Phone
- (775) 455-2235
- NPI assigned
- Jan 8, 2026
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9461079 | ID | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse |
163W00000X | 9461079 | ID | Yes |
Addresses
Primary practice location
608 Shoup Ave W
Twin Falls, ID 83301-4550
Mailing address
PO Box 5835
Twin Falls, ID 83303-5835
Other providers in Twin Falls, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 8, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.