# KERRIE WILDER

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

## Provider details

- **NPI number:** 1871974857
- **Gender:** F
- **Credential:** RN,MS,CNM

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 176B00000X | Midwife | 309014 | NC | — |
| 176B00000X | Midwife | 4704287176 | MI | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | 35381 | TN | Yes |
| 367A00000X | Advanced Practice Midwife | 35381 | TN | — |

## Other

- **Enumeration date:** 06/15/2015
- **Last updated:** 03/22/2024