IndividualActive
Abby Wilson, FNP-BC, RD, CDCES
NPI 1033544580 · Family Nurse Practitioner · Blackfoot, ID
Provider details
- NPI number
- 1033544580
- Entity type
- Individual
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- FNP-BC, RD, CDCES
- Sex
- Female
- Sole proprietor
- No
- License
- D-795 (ID)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Dietary & Nutritional Service Providers
Practice location
98 Poplar St
Blackfoot, ID 83221-1758
Phone: (208) 785-4100
Approximate (ZIP-level) locationGet directions
Mailing address
98 Poplar St
Blackfoot, ID 83221-1758
Registry dates
- Enumerated
- 2013-09-03
- Last updated
- 2026-05-24
- Certified
- 2026-05-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.