Wilder, Charis

Wilder, Charis is an individual health care provider with primary practice located at 15351 W Bell Rd , Surprise AZ 85374-4580. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Women's Health. Physician Assistants & Advanced Practice Nursing Providers / Women's Health is her primary health care specialty. Wilder, Charis can be contacted via phone (623) 687-7163.

Contact Information

Primary practice address
15351 W Bell Rd Surprise AZ 85374-4580
Phone: (623) 687-7163
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 23213 Tennessee
Physician Assistants & Advanced Practice Nursing Providers / Women's Health 363LW0102X 23213 Tennessee
Physician Assistants & Advanced Practice Nursing Providers / Women's Health 363LW0102X AP10566 Arizona

Profile Details

NPI number 1235648148
LBN Legal business name Wilder, Charis
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 22nd, 2017
Last updated Mar 23rd, 2021 - about 5 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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Identifiers

StateTypeNumberIssuer
All States NPI 1235648148 NPPES
Arizona MEDICAID 142896

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