Organization
PROFESSIONAL WOUND SPECIALISTS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NIKKI NGUYEN (OFFICE MANAGER)
(888) 434-8880
Entity
Organization
Contact information
Practice address
950 W BANNOCK ST STE 1100, BOISE, ID 83702-6140
(888) 434-8880
(855) 434-8880
Mailing address
950 W BANNOCK ST STE 1100, OFFICE 1141, BOISE, ID 83702-6140
(888) 434-8880
(855) 434-8880
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Enumeration date
11/12/2024
Last updated
02/19/2026
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