Individual
AUSTIN WOOLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
415 6TH STREET, LEWISTON, ID 83501-2434
(208) 799-5226
(208) 799-5798
Mailing address
415 6TH ST, LEWISTON, ID 83501-2434
(208) 750-7462
(208) 750-7467
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4871146
ID
363LF0000X
Family Nurse Practitioner
4871146
ID
Other
Enumeration date
02/14/2025
Last updated
08/12/2026
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