Individual provider · Type 1 NPI

Sara Wilson

Nurse Practitioner · Middleton, ID

NPI number 1417338104 Active

Practice location

1074 W Main St
Middleton, ID 83644-5270

Fax (208) 266-9234

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XNP-1568A (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…

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About NPI 1417338104

Sara Wilson's National Provider Identifier is 1417338104, issued on Jun 18, 2015. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Middleton, ID. The record was last updated on Mar 2, 2026.