Individual provider · Type 1 NPI

Audra Lynn Wilson, PAC

Physician Assistant · Boise, ID

NPI number 1336734789 Active

Practice location

6140 W Curtisian Ave Ste 400
Boise, ID 83704-8907

Fax (208) 327-5602

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000XPA61338060 (WA)
Surgical Physician Assistant 363AS0400XPA61338060 (WA)
Physician Assistant Primary 363A00000X1661274 (ID)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1336734789

Audra Lynn Wilson, PAC's National Provider Identifier is 1336734789, issued on Mar 8, 2021. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Boise, ID. The record was last updated on Dec 10, 2024.