Individual
JANICE F WILDER
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
320 W 10TH AVE, SUITE 100, KENNEWICK, WA 99336-6302
(509) 586-5860
(509) 586-5120
Mailing address
320 W 10TH AVE, SUITE 106, KENNEWICK, WA 99336-6302
(509) 586-5897
(509) 586-5898
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
AP30003088
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9608506
—
WA
Enumeration date
05/24/2006
Last updated
07/08/2007
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