Individual
HILLARY GUTHRIE WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
8971 W OVERLAND RD, BOISE, ID 83709-1651
(208) 378-4288
(208) 378-4297
Mailing address
PO BOX 191050, BOISE, ID 83719-1050
(208) 955-6500
(208) 955-6501
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA-2217
ID
363A00000X
Physician Assistant
PA1535
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12428227
CAQH
—
05
—
1689743700
—
NV
Enumeration date
11/06/2006
Last updated
02/10/2025
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