Wilds, Fatima

Wilds, Fatima is an individual health care provider with primary practice located at 8643 Bodkin Ct , Charlotte NC 28215-7358. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Licensed Practical Nurse, Nursing Service Related Providers / Personal Care Attendant. Nursing Service Providers / Licensed Practical Nurse is her primary health care specialty. Wilds, Fatima can be contacted via phone (336) 225-6912.

Contact Information

Primary practice address
8643 Bodkin Ct Charlotte NC 28215-7358
Phone: (336) 225-6912
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X 81405 North Carolina
Nursing Service Related Providers / Personal Care Attendant 3747P1801X

Profile Details

NPI number 1053774323
LBN Legal business name Wilds, Fatima
Credentials Licensed Practical Nurse (LPN)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 3rd, 2016
Last updated Apr 4th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1053774323 NPPES
North Carolina MEDICAID 1053774323

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