Individual provider · Type 1 NPI
Rebecca Lee Wilson, RN
General Practice Registered Nurse · Boise, ID
NPI number
1720677552
Active
Practice location
3075 S Summerset Way
Boise, ID 83709-3818
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Registered Nurse Primary | 163WG0000X | 17750 (ID) |
General Practice Registered Nurse: Definition to come...
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About NPI 1720677552
Rebecca Lee Wilson, RN's National Provider Identifier is 1720677552, issued on Jan 15, 2021. The primary taxonomy on file is General Practice Registered Nurse (163WG0000X), and the practice location is in Boise, ID. The record was last updated on Jan 15, 2021.