Wilde, Virginia C

Wilde, Virginia C is an individual health care provider with primary practice located at 9961 Sierra Ave , Fontana CA 92335-6720. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Wilde, Virginia C can be contacted via phone (909) 427-3910.

Contact Information

Primary practice address
9961 Sierra Ave Fontana CA 92335-6720
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X NP967 California

Profile Details

NPI number 1700953536
LBN Legal business name Wilde, Virginia C
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 29th, 2006
Last updated Sep 15th, 2008 - about 16 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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