Individual
MS. ANTOINETTE NORTON WILDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
1501 S CLINTON ST, BALTIMORE, MD 21224-5730
(410) 856-2765
Mailing address
1501 S CLINTON ST, BALTIMORE, MD 21224-5730
(410) 856-2765
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
R204920
MD
Other
Enumeration date
12/10/2021
Last updated
12/10/2021
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