P Praxis·MD
● Active Type 1 · Individual

Julie L. Wynne, M.D.

Surgery·Boise, ID· NPI 1336115401 · Enumerated 2006 · 20 years on NPI
Wynne is 1 of 8 surgery providers in Boise and 1 of 11 in Idaho.
NPI age
20 years
Enumerated 2006-02-27
Primary specialty
Surgery
Plus 5 subspecialties
Licensed in
ID, WA, AZ
3 states
Status
Active
No deactivations on record
Last NPPES update
2024-06-05
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 11 active surgery providers in Idaho.

NPI age
20 years
↑ 2 yr above median (18 yr)
State licenses
3 states
Top 0% — 100% of peers are multi-state
Subspecialties
2
In the 100% of peers with subspecialties

NPI lifetime · 2006 → 2026

2006-02Enumerated in NPPES
2006 2026

Where they practice

Practice location
999 N Curtis Rd Ste 415
Boise, ID 837061334
📞 2083022600fax 2083022625
Mailing address
Po Box 190930
Boise, ID 837190930
📞 2083675170fax 2083675180

Additional practice locations

2 secondary locations on file with NPPES.

Location 2
888 Swift Blvd
Richland, WA 993523514
📞 5099464611fax 5096272983
Location 3
1450 S Dobson Rd Ste A200
Mesa, AZ 85202
📞 4806295167fax 4809121068

Specialties

  • Surgery Primary
    A surgeon with expertise in the management of the critically ill and postoperative patient, particularly the trauma victim, who specializes in critical care medicine diagnoses, treats and supports patients with multiple organ...
    ID license #MC-2824WA license #MD61046959AZ license #40815 taxonomy 2086S0102X
  • Surgery
    A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and...
    WA license #MD61046959AZ license #40815 taxonomy 208600000X
  • Surgery
    Trauma surgery is a recognized subspecialty of general surgery. Trauma surgeons are physicians who have completed a five-year general surgery residency and usually continue with a one to two year fellowship in trauma and/or surgical...
    AZ license #40815 taxonomy 2086S0127X

Identifiers

TypeValueNotes
05 (AZ) 349220
Multi-state credentialing: Licensed in 3 states. Useful context for credentialers building cross-state provider networks.

Practice context

Part of a multi-provider practice. 22 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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