Individual provider · Type 1 NPI

Eleanor Rose Wilson, PA-C

Physician Assistant · Boise, ID

NPI number 1336871623 Active

Practice location

100 E Idaho St Ste 302
Boise, ID 83712-6269

Call (208) 343-7501 Map

Mailing address

190 E Bannock St
Boise, ID 83712-6241

Other practice locations

  • 921 S. 8th Ave, Stop 8253, Pocatello, ID 83709 · (208) 282-4726

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XPA-2592 (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 1336871623

Eleanor Rose Wilson, PA-C's National Provider Identifier is 1336871623, issued on Jun 27, 2022. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Boise, ID. The record was last updated on Jul 28, 2025.