Individual
DEE A WILDERMUTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1903 D ST, BELLINGHAM, WA 98225-3203
(360) 941-0634
Mailing address
9674 SAMISH ISLAND RD, BOW, WA 98232-9349
(360) 766-4183
(360) 715-8416
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP30006114
WA
Other
Enumeration date
10/06/2005
Last updated
01/05/2012
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