Wilder, Olivia Jo

Wilder, Olivia Jo is an individual health care provider with primary practice located at 7000 N Mo Pac Expy Ste 420 , Austin TX 78731-3055. 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 / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Wilder, Olivia Jo can be contacted via phone (512) 482-0045.

Contact Information

Primary practice address
7000 N Mo Pac Expy Ste 420 Austin TX 78731-3055
Phone: (512) 482-0045
Fax: (512) 476-9892
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 759769 Texas
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 759769 Texas

Profile Details

NPI number 1487997011
LBN Legal business name Wilder, Olivia Jo
Credentials Adult Nurse Practitioner (ANP)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 2nd, 2013
Last updated Oct 9th, 2020 - about 6 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1487997011 NPPES
Texas MEDICAID 354595603

Popular Providers