Wildeman, Marcella

Wildeman, Marcella is an individual health care provider with primary practice located at 916 Jackson Ave # A , Sheridan WY 82801-2708. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Primary Care. Physician Assistants & Advanced Practice Nursing Providers / Primary Care is her primary health care specialty. Wildeman, Marcella can be contacted via phone (130) 767-5555.

Contact Information

Primary practice address
916 Jackson Ave # A Sheridan WY 82801-2708
Phone: (130) 767-5555
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X AP60701532 Washington
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X 48029 Wyoming

Profile Details

NPI number 1285185231
LBN Legal business name Wildeman, Marcella
Credentials DNP, FNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 14th, 2016
Last updated May 13th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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