Individual
CORRIE WILDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN.CNM/CNP, LISW
Contact information
Practice address
9500 EUCLID AVE, CLEVELAND, OH 44195-0001
(216) 444-2200
Mailing address
9500 EUCLID AVE, CLEVELAND, OH 44195-0001
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
4546
OR
1041C0700X
Clinical Social Worker
I.2405789
OH
163W00000X
Registered Nurse
201242965RN
OR
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
201405807NP-PP
OR
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
APRN.CNP.0032225
OH
367A00000X
Advanced Practice Midwife
201405807NP-PP
OR
367A00000X
Advanced Practice Midwife
Primary
APRN.CNM.0019509
OH
Other
Enumeration date
10/08/2008
Last updated
01/20/2025
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