Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CONNIE MARIE WILSON, FNP
ActiveCONNIE MARIE WILSON, FNP is a Nurse Practitioner healthcare provider located in ATHOL, Idaho. NPI 1619341260 is currently active in the NPPES registry. Verify at CMS.
Nurse Practitioner · ATHOL, ID
Registration Details
- NPI Number
- 1619341260
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 19, 2015 (10.741650622662 yrs)
- Last Updated
- Mar 25, 2025
- License
-
NP-1655A (ID)
Practice Information
- Address
-
7173 E SUPER 1 LOOP STE BATHOL, ID, 838017109Browse ID providers · Browse ZIP 83801
- Phone
- 2085619901
- Fax
- 2085619968
- Primary Specialty
-
Nurse Practitioner
363L00000X
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.