NPI age
10 years
Enumerated 2015-08-12
● Active
Type 1 · Individual
Patricia Ann Wilson, CNIM
Wilson is 1 of 1 specialist/technologist, other providers in Pocatello and 1 of 11 in Idaho.
Primary specialty
Specialist/Technologist, Other
Licensed in
—
0 states
Status
Active
No deactivations on record
Last NPPES update
2015-08-12
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 11 active specialist/technologist, other providers in Idaho.
NPI age
10 years
≈ at median (10 yr)
State licenses
1 state
0% of peers hold multiple states
Subspecialties
0
9% of peers hold subspecialties
NPI lifetime · 2015 → 2026
2015-08Enumerated in NPPES
2015
2026
Where they practice
Practice location
1019 Sagewood Pl
Pocatello, ID 832012729
Mailing address
1019 Sagewood Pl
Pocatello, ID 832012729
Specialties
-
Specialist/Technologist, Other PrimaryDefinition to come...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 | 713 | CNIM |
Practice context
Solo or small practice. No other active providers share this practice address in NPPES.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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