Sara Wilson

NPI #1417338104 in Meridian, Idaho

Provider Information

NPI Number
1417338104
Entity Type
Individual
Name
Sara Wilson
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Nurse Practitioner
Enumeration Date
Jun 18, 2015
Last Updated
May 22, 2024

Practice Location

Address
2960 E. ST. LUKES ST.
Address 2
STE. 200
State
Idaho
ZIP Code
83642-6011
Phone
(208) 992-5212

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner

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