NPI 1023636180

Tom Wenzel

Practitioner Gastroenterology Registered Nurse Boise, ID

Practice location

Address: 500 W Fort St, Boise, ID 83702-4599
Phone: (208) 422-1092

Registered specialties

Gastroenterology Registered Nurse Primary

Nursing Service Providers Taxonomy 163WG0100X Licence N-21615 (ID)

Other Registered Nurse providers in Idaho →

Registry record

NPI: 1023636180
Entity type: Individual
Sex (as registered): Male
NPI issued: 6 Jul 2020
Record last updated: 6 Jul 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.