Individual
COURTNEY MELISSA WOOLSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGPCNP-BC
Contact information
Practice address
2112 E FRANKLIN RD, MERIDIAN, ID 83642-9024
(180) 023-0752
Mailing address
2112 E FRANKLIN RD, MERIDIAN, ID 83642-9024
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
NP-1358A
ID
Other
Enumeration date
11/02/2013
Last updated
11/02/2013
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