Individual provider · Type 1 NPI

Renee M. Wilson, PA-C

Medical Physician Assistant · Meridian, ID

NPI number 1215019534 Active

Practice location

1618 S Millenium Way Ste 100
Meridian, ID 83642-6457

Call (208) 884-3376 Map

Fax (208) 884-0858

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XPA557 (ID)

Medical Physician Assistant: Definition to come...

22 other providers at this address

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About NPI 1215019534

Renee M. Wilson, PA-C's National Provider Identifier is 1215019534, issued on Oct 19, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Meridian, ID. The record was last updated on May 18, 2026.