Wilder, Paula F

Wilder, Paula F is an sole proprietor health care provider with primary practice located at 5547 Glenwild Ave , Memphis TN 38119-6011. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / General Practice, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Wilder, Paula F can be contacted via phone (901) 857-8925.

Contact Information

Primary practice address
5547 Glenwild Ave Memphis TN 38119-6011
Phone: (901) 857-8925
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / General Practice 163WG0000X 73605 Tennessee
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 0000006154 Tennessee

Profile Details

NPI number 1902810906
LBN Legal business name Wilder, Paula F
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 28th, 2006
Last updated Apr 9th, 2009 - about 15 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 1902810906 NPPES
Tennessee MEDICAID 3904435

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