Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JULIE L. WYNNE, M.D.
Active Sole ProprietorSurgical Critical Care · BOISE, ID
Registration Details
- NPI Number
- 1336115401
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Feb 27, 2006 (20.163928753678 yrs)
- Last Updated
- Jun 5, 2024
- Licenses
-
MD61046959 (WA)40815 (AZ)MD61046959 (WA)40815 (AZ)40815 (AZ)
- Sole Proprietor
- Yes
Practice Information
- Address
-
999 N CURTIS RD STE 415BOISE, ID, 837061334Browse ID providers · Browse ZIP 83706
- Phone
- 2083022600
- Fax
- 2083022625
- Primary Specialty
-
Surgical Critical Care
2086S0102X
- Additional Specialty
- General Surgery
- Additional Specialty
- Surgical Critical Care
- Additional Specialty
- Surgical Critical Care
- Additional Specialty
- Trauma Surgery
Other Surgical Critical Care Providers in BOISE, ID
| Name | Credential | NPI |
|---|---|---|
| DR. JEREMY HENRY CONKLIN | DO | 1700830882 |
| STEPHEN C GALE | MD | 1407862410 |
| DR. KAHDI F UDOBI | MD | 1205935624 |
| DR. JUSTIN FOWLER | MD | 1386835585 |
| DR. SCOTT MICHAEL JOHN | M.D. | 1821382839 |
| DR. CALEB JAMES MENTZER | DO | 1285920223 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.