Individual
CHRISTINA WILDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
821 ALLEN STREET APT 424, DALLAS, TX 75204
(816) 651-3939
Mailing address
821 ALLEN STREET APT 424, DALLAS, TX 75204
(816) 651-3939
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1012943
TX
Other
Enumeration date
10/11/2020
Last updated
10/11/2020
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