Individual
DANIELLE WILDERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA, FNP-C
Contact information
Practice address
1002 LEGACY RANCH RD STE 102, WAXAHACHIE, TX 75165-1293
(254) 724-2111
Mailing address
245 MCKINLEY CIR, WAXAHACHIE, TX 75167-0125
(602) 481-3316
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
862955
TX
Other
Enumeration date
09/29/2014
Last updated
03/10/2025
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