Individual
CHELSEY WYLDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3 RIVERSIDE CIR, ROANOKE, VA 24016-4955
(540) 224-5170
Mailing address
3024 NEW BERN AVE, RALEIGH, NC 27610-1247
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110011090
VA
363AS0400X
Surgical Physician Assistant
0110011090
VA
363AS0400X
Surgical Physician Assistant
330722
NC
Other
Enumeration date
06/23/2025
Last updated
03/06/2026
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