Individual
HALEY WILDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8857 SUNFISH WAY APT 9301, KNOXVILLE, TN 37923-6566
(865) 804-1611
Mailing address
8857 SUNFISH WAY APT 9301, KNOXVILLE, TN 37923-6566
(865) 804-1611
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
35744
TN
Other
Enumeration date
02/23/2024
Last updated
02/23/2024
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