IndividualActive
Patricia Wilson, CNIM
NPI 1508232604 · Electroneurodiagnostic Specialist/Technologist · Pocatello, ID
Provider details
- NPI number
- 1508232604
- Entity type
- Individual
- Primary specialty
- Electroneurodiagnostic Specialist/TechnologistTechnologists, Technicians & Other Technical Service Providers
- Credential
- CNIM
- Sex
- Female
- Sole proprietor
- No
- License
- 713
Specialties & taxonomies
Technologists, Technicians & Other Technical Service Providers
Practice location
1019 Sagewood Pl
Pocatello, ID 83201-2729
Phone: (208) 221-0234
Approximate (ZIP-level) locationGet directions
Mailing address
1019 Sagewood Pl
Pocatello, ID 83201-2729
Registry dates
- Enumerated
- 2015-08-12
- Last updated
- 2015-08-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.