Audra Wilson, PAC

NPI 1336734789 · on the registry since 2021

Practice

Address: 6140 W Curtisian Ave Ste 400
Boise, ID 83704
Phone: (208) 327-5600
Fax: (208) 327-5602
Organisation at this address: N S Support Llc
Kenneth M Little
Michael V Hajjar Md
Timothy J Johans, Md
Richard Lochhead Md Pllc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 66

Registry record

Primary taxonomy: 363A00000X
363A00000X
Also registered as: 363A00000X
363AS0400X
Licence states on file: WA, ID
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2024-12-10

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