Search › Idaho › 363AM0700X
Carly Wilson, PA
NPI 1316677636 · on the registry since 2022
Practice
- Address
- 100 E Idaho St Ste 302
Boise, ID 83712 - Phone
- (208) 343-7501
- Fax
- (208) 336-8248
- Organisation at this address
- Woman'S Clinic
Ob-Gyn Center Pa
Pediatric Surgery Of Idaho
Jonathan Kramer, M.D., Pllc
Mountain States Oncology GroupInferred from a shared address, not stated in the registry. - Clinicians at this address
- 212
Additional practice sites
- 921 S 8th Ave Stop 8253, Pocatello, ID
- 300 S 23rd St, Boise, ID
Registry record
- Primary taxonomy
- 363AM0700X
363AM0700X
- Also registered as
- 363A00000X
- Licence states on file
- ID
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2026-03-02
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