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Mrs. Renee M Wilson, PA-C
Medical Physician Assistant in Meridian, Idaho
NPI 1215019534

Renee M Wilson is a Medical Physician Assistant based in Meridian, ID and is specialized in Medical. Renee M Wilson practices in Meridian, ID and has the professional credentials of PA-C. The NPI Number for Renee M Wilson is 1215019534 and holds a License No. PA557 (Idaho).

The current practice location address for Renee M Wilson is 1618 S Millenium Way Ste 100, Meridian, ID and can be reached out via phone at 208-884-3376 and via fax at 208-884-0858.

Location: 1618 S Millenium Way Ste 100, Meridian, ID, 83642-6457
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Provider Profile Details
NPI Number
1215019534
Provider Name
Renee M Wilson
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
1618 S Millenium Way Ste 100, Meridian, ID, 83642-6457
Phone Number
208-884-3376
Fax Number
208-884-0858
Provider Enumeration Date
10/19/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
807233200 05 ID
institution
Provider Business Practice Location Address Details
Address
1618 S Millenium Way Ste 100
City
State
Zip
83642-6457
Phone Number
208-884-3376
Fax Number
208-884-0858
person
Provider Business Mailing Address Details
Address
1618 S Millenium Way Ste 100
City
State
Zip
83642-6457
Phone Number
208-884-3376
Fax Number
208-884-0858
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
PA557 (Idaho)
Definition
Definition to come...
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