Individual
AUDREY MARIE WILDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RNC
Contact information
Practice address
15940 AVONDALE RD NE, WOODINVILLE, WA 98077-9167
(425) 408-4206
(425) 408-4202
Mailing address
15940 AVONDALE RD NE, WOODINVILLE, WA 98077-9167
(425) 408-4206
(425) 408-4202
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
00085706
WA
Other
Enumeration date
10/19/2017
Last updated
10/19/2017
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