Wilson, Ivy Meg

Wilson, Ivy Meg is an individual health care provider with primary practice located at 2893 S Cadet Pl , Boise ID 83706-5133. She recently has 3 registered licenses in different health care specialties including Technologists, Technicians & Other Technical Service Providers / Vascular-Interventional Technology, Student, Health Care / Student in an Organized Health Care Education/Training Program, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Wilson, Ivy Meg can be contacted via phone (208) 313-8213.

Contact Information

Primary practice address
2893 S Cadet Pl Boise ID 83706-5133
Phone: (208) 313-8213
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Vascular-Interventional Technology 2471V0106X 541174 Idaho
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X Idaho

Profile Details

NPI number 1346970654
LBN Legal business name Wilson, Ivy Meg
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 10th, 2022
Last updated Oct 6th, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers