Most Relevant Information
Provider Data
NPI Number: | 1003312489 |
Provider Name: | ADRIANN J WILCOX FNP |
Entity Type: | Individual |
Taxonomy Code: | 207Q00000X |
Specialty: | Family Medicine |
License Number: | 58219 |
Most Important Dates
Enumeration Date: | 04/04/2018 |
Last Updated: | 04/02/2020 |
Provider Practice Location
393 E 2ND N
REXBURG
ID
834401605
Practice Location Phone/Fax
Phone: | 2083565401 |
Fax: | 2083563111 |
Provider Mailing Location
393 E 2ND N
REXBURG
ID
834401605
Provider Mailing Phone/Fax
Phone: | 2083565401 |
Fax: |
Suggested EMR
Family Practice EMR