Individual
MRS. ALEXANDRA TITUS WILDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-BC
Contact information
Practice address
3803 N ELM ST, GREENSBORO, NC 27455-2593
(617) 492-4545
Mailing address
8417 CHELRIDGE DR, WAKE FOREST, NC 27587-4161
(336) 637-7596
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5006740
NC
363LA2200X
Adult Health Nurse Practitioner
RN2258325
MA
Other
Enumeration date
08/24/2010
Last updated
03/14/2016
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