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Individual
PAULA F WILDER
Active
Individual
PAULA F WILDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
73605
TN
363LF0000X
Family Nurse Practitioner
Primary
0000006154
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3904435
—
TN
Enumeration date
07/28/2006
Last updated
04/09/2009
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