Wilder, Pamela Rose

Wilder, Pamela Rose is an individual health care provider with primary practice located at 4370 W Main St , Dothan AL 36305-1056. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Wilder, Pamela Rose can be contacted via phone (334) 793-5000.

Contact Information

Primary practice address
4370 W Main St Dothan AL 36305-1056
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 62370 Nebraska
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 1-157417 Alabama

Profile Details

NPI number 1134674518
LBN Legal business name Wilder, Pamela Rose
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 16th, 2016
Last updated Sep 23rd, 2016 - about 9 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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