Individual provider · Type 1 NPI

Amanda Rose Wilson, APRN-CNP

Family Medicine Physician · Payette, ID

NPI number 1629982608 Active

Practice location

1441 NE 10th Ave
Payette, ID 83661-5420

Call (208) 642-9376 Map

Mailing address

8495 W Galactic Ct
Boise, ID 83709-7881

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician Primary 207Q00000X9481637 (ID)

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

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About NPI 1629982608

Amanda Rose Wilson, APRN-CNP's National Provider Identifier is 1629982608, issued on Sep 29, 2026. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Payette, ID. The record was last updated on Sep 29, 2026.