Individual
HANNAH KATHRYN WILDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
106 CORPORATE PARK DR STE 200&300, MOORESVILLE, NC 28117-7133
(704) 235-9090
(704) 235-9101
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5023483
NC
390200000X
Student in an Organized Health Care Education/Training Program
F09251226
NC
Other
Enumeration date
10/29/2025
Last updated
01/21/2026
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