Search › Idaho › 363A00000X
Ivy Wilson, PA-C
NPI 1346970654 · on the registry since 2022
Practice
- Address
- 2893 S Cadet Pl
Boise, ID 83706 - Phone
- (208) 313-8213
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Also registered as
- 2471V0106X
390200000X - Licence states on file
- ID
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-10-06
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