Individual
MRS. WESLIE COOLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPNP-PC
Contact information
Practice address
4740 N PENNGROVE WAY STE 210, MERIDIAN, ID 83646-7447
(208) 514-0203
Mailing address
2588 N CAMERTON PL, EAGLE, ID 83616-4825
(208) 817-1008
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
58531
ID
Other
Enumeration date
07/16/2022
Last updated
07/16/2022
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