SearchIdaho106H00000X

Melissa Wilson

NPI 1104651462 · on the registry since 2024

Practice

Address
591 N 2nd E
Rexburg, ID 83440
Phone
(208) 356-6975
Clinicians at this address
2

Registry record

Primary taxonomy
106H00000X
106H00000X
Licence states on file
ID
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2024-09-05

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