National Provider Identifier Database

IVY M WILSON, PA-C – NPI #1346970654
Physician Assistant

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.


Contact Information

IVY M WILSON, PA-C
2893 S CADET PL
BOISE, ID83706-5133
Phone: 208-313-8213
Fax:
Website:
Specialty Taxonomy Code
* Physician Assistant 363A00000X
Student in an Organized Health Care Education/Training Program 390200000X
Vascular-Interventional Technology Radiologic Technologist 2471V0106X

* Indicates primary specialty

NPI Profile & details for IVY M WILSON

NPI Number 1346970654
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 06/10/2022
Last updated 10/06/2022 - About 4 years ago
Sole proprietor1 No
Identifiers
  • ID License #: 541174
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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