NPI 1619341260

Connie Marie Wilson, FNP

Practitioner Nurse Practitioner Athol, ID

Practice location

Address: 7173 E Super 1 Loop STE B, Athol, ID 83801-7109
Phone: (208) 561-9901
Fax: (208) 561-9968
Mailing address: 1593 E Polston Ave, Post Falls, ID 83854-5326

Registered specialties

Nurse Practitioner Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363L00000X Licence NP-1655A (ID)

Other Nurse Practitioner providers in Idaho →

Registry record

NPI: 1619341260
Entity type: Individual
Sex (as registered): Female
NPI issued: 19 Nov 2015
Record last updated: 25 Mar 2025

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.