COURTNEY MELISSA WOOLSTON AGPCNP-BC NPI 1710316526

NPI Information

NPI: 1710316526
Provider Name: COURTNEY MELISSA WOOLSTON, AGPCNP-BC
Classification: Nurse Practitioner - 363LP2300X
Entity Type: Individual

Specialization: Primary Care

Organization: ST LUKES CLINIC-TREASURE VALLEY LLC

PECOS Registration: Yes

Address:
2112 E FRANKLIN RD
MERIDIAN, ID
ZIP 83642
Phone: (180) 023-0752
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Courtney Melissa Woolston, AGPCNP-BC is a primary care nurse practitioner in Meridian, ID with 7 years of experience. Courtney Melissa Woolston, AGPCNP-BC NPI is 1710316526. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2112 E FRANKLIN RD
MERIDIAN, ID
ZIP 83642-024
Phone: (180) 023-0752

The NPI 1710316526 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 11/2/2013 and was last updated on 11/2/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LP2300X	Nurse Practitioner	Primary Care	NP-1358A	IDAHO	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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