Individual
LAUREN ASHLEY WILDRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
30 LAUREN LN, MONTGOMERY, NY 12549-2518
(845) 258-0665
Mailing address
30 LAUREN LN, MONTGOMERY, NY 12549-2518
(845) 258-0665
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
644136
NY
176B00000X
Midwife
Primary
F00230
NY
Other
Enumeration date
07/27/2023
Last updated
09/13/2023
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