Individual
STEPHANIE B WILDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
600 N CATTLEMEN RD STE 220, SARASOTA, FL 34232-6422
(941) 371-6565
(941) 377-7731
Mailing address
600 N CATTLEMEN RD STE 220, SARASOTA, FL 34232-6422
(941) 371-6565
(941) 377-7731
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
APRN11011573
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
APRN11011573
STATE LICENSE
FL
Enumeration date
02/15/2021
Last updated
04/24/2023
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