Wildner, Mary

Wildner, Mary is an individual health care provider with primary practice located at 2110 Gallows Rd Ste D , Vienna VA 22182-3962. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Wildner, Mary can be contacted via phone (703) 592-4600.

Contact Information

Primary practice address
2110 Gallows Rd Ste D Vienna VA 22182-3962
Phone: (703) 592-4600
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 0110008752 Virginia

Profile Details

NPI number 1740915289
LBN Legal business name Wildner, Mary
Credentials PA-C, MPH
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 19th, 2022
Last updated Oct 27th, 2022 - about 2 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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