Individual
MEGAN GRACE WILDES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
5006 CENTER ST STE U, TACOMA, WA 98409-2314
(253) 284-4488
(253) 272-4771
Mailing address
5006 CENTER ST STE U, TACOMA, WA 98409-2314
(253) 284-4488
(253) 272-4771
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP60733408
WA
Other
Enumeration date
03/23/2017
Last updated
08/15/2024
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