Individual
JEAN M WILDAUER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
120 PROSPECT ST, READING, PA 19606-2871
(610) 779-1330
(610) 779-5929
Mailing address
19 SUNRISE DRIVE, LEBANON, PA 17042-8010
(717) 274-3912
(717) 274-3912
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
SP006245C
PA
Other
Enumeration date
08/31/2006
Last updated
07/21/2008
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