Individual
BARBARA WILDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
301 MARIARDEN RD, DADEVILLE, AL 36853-6254
(256) 825-7871
(256) 825-5742
Mailing address
301 MARIARDEN RD, DADEVILLE, AL 36853-6254
(256) 825-7871
(256) 825-5742
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1-022293
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
540003420
—
AL
Enumeration date
07/07/2006
Last updated
02/13/2012
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