KATHRYN A WICK

BOISE, ID
NPI1184879363
Former NameKATHRYN ALICE GRAY
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: ID  NP-907A)
Additional Taxonomies363L00000X Nurse Practitioner
(Licence: ID  NP-907A)
Enumeration Date2008-12-01
Last Update Date2023-11-28
Business Address
KATHRYN A WICK NP
300 S 23RD ST
BOISE, ID 83702-9100
Phone number: 208-344-3512
Mailing Address
KATHRYN A WICK NP
PO BOX 9
NAMPA, ID 83653-0009
Phone number: 208-461-7149