Individual provider · Type 1 NPI
Patricia Ann Wilson, CNIM
Electroneurodiagnostic Specialist/Technologist · Pocatello, ID
NPI number
1508232604
Active
Practice location
1019 Sagewood Pl
Pocatello, ID 83201-2729
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Electroneurodiagnostic Specialist/Technologist Primary | 246ZE0600X | 713 |
Electroneurodiagnostic Specialist/Technologist: Definition to come...
About NPI 1508232604
Patricia Ann Wilson, CNIM's National Provider Identifier is 1508232604, issued on Aug 12, 2015. The primary taxonomy on file is Electroneurodiagnostic Specialist/Technologist (246ZE0600X), and the practice location is in Pocatello, ID. The record was last updated on Aug 12, 2015.