person
Connie Marie Wilson, FNP
Nurse Practitioner in Athol, Idaho
NPI 1619341260

Connie Marie Wilson is a Nurse Practitioner based in Post Falls, ID. Connie Marie Wilson practices in Athol, ID and has the professional credentials of FNP. The NPI Number for Connie Marie Wilson is 1619341260 and holds a License No. NP-1655A (Idaho).

The current practice location address for Connie Marie Wilson is 7173 E Super 1 Loop Ste B, Athol, ID and can be reached out via phone at 208-561-9901 and via fax at 208-561-9968.

Location: 7173 E Super 1 Loop Ste B, Athol, ID, 83854-5326
person
Provider Profile Details
NPI Number
1619341260
Provider Name
Connie Marie Wilson
Credential
FNP
Provider Entity Type
Individual
Gender
Female
Address
7173 E Super 1 Loop Ste B, Athol, ID, 83854-5326
Phone Number
208-561-9901
Fax Number
208-561-9968
Provider Enumeration Date
11/19/2015
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1619341260 05 ID
institution
Provider Business Practice Location Address Details
Address
7173 E Super 1 Loop Ste B
City
State
Zip
83801-7109
Phone Number
208-561-9901
Fax Number
208-561-9968
person
Provider Business Mailing Address Details
Address
7173 E Super 1 Loop Ste B
City
State
Zip
83801-7109
Phone Number
208-561-9901
Fax Number
208-561-9968
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
License No.
NP-1655A (Idaho)
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
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