# WILDWOOD WELLNESS PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1619880739
- **Authorized official:** DESIREE BALLESTEROS ARNP (ARNP)
- **Authorized official phone:** (425) 332-8312

## Contact information

- **Practice address:** 1523 132ND ST SE STE C-1028, EVERETT, WA 98208-7200
- **Practice address phone:** (425) 332-8312
- **Mailing address:** 2819 99TH PL SE, EVERETT, WA 98208-2974
- **Mailing address phone:** (843) 442-9864

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | — | NULL | Yes |

## Other

- **Enumeration date:** 09/28/2026
- **Last updated:** 09/28/2026