Wilder, Paula F
Wilder, Paula F is an sole proprietor health care provider with primary practice located at 5547 Glenwild Ave , Memphis TN 38119-6011. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / General Practice, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Wilder, Paula F can be contacted via phone (901) 857-8925.Contact Information
Primary practice address
5547 Glenwild Ave
Memphis TN 38119-6011
Phone: (901) 857-8925
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / General Practice | 163WG0000X | 73605 | Tennessee |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 0000006154 | Tennessee |
Profile Details
| NPI number | 1902810906 |
|---|---|
| LBN Legal business name | Wilder, Paula F |
| Credentials | Family Nurse Practitioner (FNP) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 28th, 2006 |
| Last updated | Apr 9th, 2009 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1902810906 | NPPES |
| Tennessee | MEDICAID | 3904435 |
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