Individual provider · Type 1 NPI

Cassie Nicole Wilson, AGCANP

Nurse Practitioner · Boise, ID

NPI number 1104573112 Active

Practice location

1075 N Curtis Rd Ste 101
Boise, ID 83706-1348

Call (208) 302-2800 Map

Fax (208) 302-2825

Mailing address

PO Box 31001-2360
Pasadena, CA 91110-2360

Other practice locations

  • 1055 N Curtis Rd, Boise, ID 83706-1309 · (208) 367-2121

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X66379 (ID)

Nurse Practitioner: (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 wit…

7 other providers at this address

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About NPI 1104573112

Cassie Nicole Wilson, AGCANP's National Provider Identifier is 1104573112, issued on Mar 9, 2022. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Boise, ID. The record was last updated on Sep 13, 2024.