Individual
EMILY KATE WILD
Active
Individual
EMILY KATE WILD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNP
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
2224114
MN
363LF0000X
Family Nurse Practitioner
Primary
9689
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9689
MINNESOTA BOARD OF NURSING
MN
Enumeration date
03/17/2022
Last updated
11/06/2022
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