Individual
SARAH J WILDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
231 ALBERT SABIN WAY, CINCINNATI, OH 45267-2827
(513) 584-4457
(513) 584-2222
Mailing address
PO BOX 636256, CENTRAL CREDENTIALING, CINCINNATI, OH 45263-6256
(513) 585-5502
(513) 585-5511
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
13987NP
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0078663
—
OH
Enumeration date
11/12/2012
Last updated
06/20/2017
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