# ANNALEE MARTHA WILSON

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1760767412
- **Gender:** F
- **Credential:** NP

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | AP60249014 | WA | Yes |
| 363L00000X | Nurse Practitioner | NP-1128A | ID | — |
| 363LF0000X | Family Nurse Practitioner | 23519 | ID | — |

## Other

- **Enumeration date:** 10/13/2011
- **Last updated:** 11/18/2024