Individual
TRINA J WILDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NNP
Contact information
Practice address
6215 HUMPHREYS BLVD, SUITE 310, MEMPHIS, TN 38120-2367
(901) 747-0291
(901) 747-0299
Mailing address
6215 HUMPHREYS BLVD, SUITE 310, MEMPHIS, TN 38120-2367
(901) 747-0291
(901) 747-0299
Taxonomy
Speciality
Code
Description
License number
State
363LN0005X
Critical Care Neonatal Nurse Practitioner
Primary
0000012397
TN
363LN0005X
Critical Care Neonatal Nurse Practitioner
A810203
MS
Other
Enumeration date
03/15/2007
Last updated
07/08/2007
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