Individual
MRS. ELIZABETH ANN WILDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
140 VO TECH DR., MCMINNVILLE, TN 37110-1390
(931) 474-8888
(931) 474-8889
Mailing address
140 VO TECH DR., MCMINNVILLE, TN 37110-8003
(931) 474-8888
(931) 474-8889
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
17860
TN
Other
Enumeration date
08/20/2013
Last updated
08/29/2016
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