Individual
CARLY WILHIDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
310 STOCK ST STE 3, HANOVER, PA 17331-2276
(717) 637-1738
Mailing address
739 W KING ST, LITTLESTOWN, PA 17340-1417
(717) 465-0041
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN703693
PA
363LG0600X
Gerontology Nurse Practitioner
Primary
SP027922
PA
Other
Enumeration date
06/14/2023
Last updated
03/21/2024
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