Healthcare Provider Details

I. General information

NPI: 1346105970
Provider Name (Legal Business Name): EMILIA CLAUDIA STOICA CNA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/16/2025
Last Update Date: 12/16/2025
Certification Date: 12/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14337 MOSS ST
CALDWELL ID
83607-5800
US

IV. Provider business mailing address

14337 MOSS ST
CALDWELL ID
83607-5800
US

V. Phone/Fax

Practice location:
  • Phone: 208-989-0681
  • Fax:
Mailing address:
  • Phone: 208-989-0681
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code311ZA0620X
TaxonomyAdult Care Home Facility
License NumberCFH-3431
License Number StateID

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: