Individual
MS. TRACIE E WILDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
300 20TH AVE N, SUITE 702, NASHVILLE, TN 37203-2131
(615) 284-8636
(615) 284-8637
Mailing address
300 20TH AVE N, SUITE 702, NASHVILLE, TN 37203-2131
(615) 284-8636
(615) 284-8637
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
APN11968
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3644997
—
TN
Enumeration date
08/10/2006
Last updated
03/07/2023
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