Individual provider · Type 1 NPI
Susan Wildwood, G.C.F.T.
Specialist · Boise, ID
NPI number
1114184652
Active
Practice location
2533 N 26th St
Boise, ID 83702-0308
Fax (208) 343-3756
Mailing address
PO Box 6502
Boise, ID 83707-6502
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | None listed |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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About NPI 1114184652
Susan Wildwood, G.C.F.T.'s National Provider Identifier is 1114184652, issued on May 21, 2008. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Boise, ID. The record was last updated on Apr 6, 2009.