Wild, Emily Kate

Wild, Emily Kate is an sole proprietor health care provider with primary practice located at 20 5Th St Se , Cook MN 55723-9702. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Critical Care Medicine, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Wild, Emily Kate can be contacted via phone (218) 666-5941.

Contact Information

Primary practice address
20 5Th St Se Cook MN 55723-9702
Phone: (218) 666-5941
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Critical Care Medicine 163WC0200X 2224114 Minnesota
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 9689 Minnesota

Profile Details

NPI number 1578211595
LBN Legal business name Wild, Emily Kate
Credentials Certified Nurse Practitioner (CNP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 17th, 2022
Last updated Nov 6th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1578211595 NPPES
Minnesota Other 9689 MINNESOTA BOARD OF NURSING

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