Individual
JOYCE M. WILDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM, NP
Contact information
Practice address
172 CLINTON ST, WATERTOWN, NY 13601-3602
(315) 782-6262
(315) 782-5181
Mailing address
1001 W FAYETTE ST, STE 400, SYRACUSE, NY 13204-2859
(315) 472-1488
(315) 476-1792
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
420516
NY
367A00000X
Advanced Practice Midwife
Primary
F000546
NY
Other
Enumeration date
05/05/2006
Last updated
05/14/2008
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