Individual
ANN WILCOX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
500 S 11TH AVE STE 501, POCATELLO, ID 83201-4881
(208) 244-0997
(208) 561-6902
Mailing address
13574 N MOONGLOW LN, POCATELLO, ID 83202-5123
(208) 244-9999
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
6771160
ID
Other
Enumeration date
07/07/2025
Last updated
08/29/2025
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