# CORRIE WILDER

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1821249772
- **Gender:** F
- **Credential:** APRN.CNM/CNP, LISW

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | 4546 | OR | — |
| 1041C0700X | Clinical Social Worker | I.2405789 | OH | — |
| 163W00000X | Registered Nurse | 201242965RN | OR | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | 201405807NP-PP | OR | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | APRN.CNP.0032225 | OH | — |
| 367A00000X | Advanced Practice Midwife | 201405807NP-PP | OR | — |
| 367A00000X | Advanced Practice Midwife | APRN.CNM.0019509 | OH | Yes |

## Other

- **Enumeration date:** 10/08/2008
- **Last updated:** 01/20/2025