Individual
SARRA WILDERMUTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, RN, ACCNS-AG
Contact information
Practice address
2100 STANTONSBURG RD, GREENVILLE, NC 27834-2818
(252) 816-6367
Mailing address
2100 STANTONSBURG RD, GREENVILLE, NC 27834-2818
(252) 816-6367
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
0001295447
VA
364S00000X
Clinical Nurse Specialist
Primary
609
NC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/07/2024
Last updated
08/11/2025
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