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NPI Profile for COURTNEY M WOOLSTON in MERIDIAN, ID.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Primary Care |
363LP2300X | 50 | Nurse Practitioner |
| NPI Number | 1710316526 |
|
| Status | Active | |
| Credentials | AGPCNP-BC | |
| Entity | Individual | |
| Enumeration date | 11/02/2013 | |
| Last updated | 11/02/2013 - About 13 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
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| Hospital affiliation(s) |
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COURTNEY M WOOLSTON
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COURTNEY M WOOLSTON, AGPCNP-BC