Individual
MINDY LYNN WILDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
995 9TH AVE SW, BESSEMER, AL 35022-4527
(205) 481-7000
Mailing address
995 9TH AVE SW, BESSEMER, AL 35022-4527
(205) 481-7000
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
1-084720
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1-084720
RN ABN
AL
Enumeration date
02/11/2011
Last updated
02/11/2011
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