Search › Idaho › 363L00000X
Connie Wilson, FNP
NPI 1619341260 · on the registry since 2015
Practice
- Address
- 7173 E Super 1 Loop Ste B
Athol, ID 83801 - Phone
- (208) 561-9901
- Fax
- (208) 561-9968
- Organisation at this address
- North Idaho Day Surgery Llc
North Idaho Day Surgery LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 4
Registry record
- Primary taxonomy
- 363L00000X
363L00000X
- Licence states on file
- ID
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2025-03-25
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