Individual
MANDY L WILDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
104 W BIRCH ST, ARLINGTON, SD 57212
(605) 983-3283
(605) 983-5112
Mailing address
300 22ND AVE, BROOKINGS, SD 57006-2480
(605) 696-9000
(605) 696-8830
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
CP001281
SD
Other
Enumeration date
09/26/2017
Last updated
07/21/2022
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