Individual
TEAIRAH WILDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
22335 US HIGHWAY 72 STE C, ATHENS, AL 35613-2611
(256) 870-4111
(256) 870-4112
Mailing address
22335 US HIGHWAY 72 STE C, ATHENS, AL 35613-2611
(256) 870-4111
(256) 870-4112
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1-131546
AL
363LF0000X
Family Nurse Practitioner
Primary
1-131546
AL
Other
Enumeration date
10/31/2014
Last updated
10/09/2025
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