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Individual
MRS. REGINA ANN WILDE
Active
Individual
MRS. REGINA ANN WILDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
NP-08305
OH
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
NP 08305
OH
Other
Enumeration date
06/21/2005
Last updated
11/15/2016
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