Adriann J Wilcox
Family Doctor Nurse Practitioner
393 E 2nd N
Rexburg
, Idaho 83440-1605
Adriann J Wilcox
Family Doctor Nurse Practitioner
393 E 2nd N
Rexburg
, Idaho 83440-1605
(208) 356-5401
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About
Features
Specialties
- Family Doctor
- Nurse Practitioner
Languages spoken
- English
Location
First Address
- Adriann J Wilcox
- 393 E 2nd N
- Rexburg, ID
- Zip : 83440-1605
- Phone : (208) 356-5401
Second Address
- Adriann J Wilcox
- 393 E 2nd N
- Rexburg, ID
- Zip : 83440-1605
- Fax : (208) 356-3111
- Phone : (208) 356-5401
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207Q00000X | Family Doctor | 58219 | ID |
| Y | 363L00000X | Nurse Practitioner | 58219 | ID |
National Provider Identifier
| NPI | 1003312489 |
|---|---|
| Provider Name | Adriann J Wilcox |
| First Address | Rexburg, ID 83440-1605 |
| Second Address | Rexburg, ID 83440-1605 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 04/04/2018 |
| Last Update Date | 02/04/2020 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.