Individual
SCOTT E WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
F.N.P
Contact information
Practice address
8382 N WAYNE DR STE 204, HAYDEN, ID 83835-6028
(208) 635-5265
(208) 635-5218
Mailing address
8382 N WAYNE DR STE 204, HAYDEN, ID 83835-6028
(208) 635-5265
(208) 635-5218
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
201603114
OR
363LF0000X
Family Nurse Practitioner
Primary
3171495
ID
363LF0000X
Family Nurse Practitioner
70109780
WA
Other
Enumeration date
07/17/2015
Last updated
07/14/2026
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