Cassie Nicole Wilson, AGCANP

NPI #1104573112 in Boise, Idaho

Provider Information

NPI Number: 1104573112
Entity Type: Individual
Name: Cassie Nicole Wilson, AGCANP
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Nurse Practitioner
Credential: AGCANP
Enumeration Date: Mar 9, 2022
Last Updated: Sep 13, 2024

Practice Location

Address: 1075 N CURTIS RD STE 101
City: Boise
State: Idaho
ZIP Code: 83706-1348
Phone: (208) 302-2800

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Nurse Practitioner	363L00000X	Primary

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