Individual provider · Type 1 NPI
Susan Wilde, CNP
Pediatric Nurse Practitioner · Mchenry, IL
NPI number
1144279100
Active
Practice location
4309 W Medical Center Dr, B310
Mchenry, IL 60050-8419
Fax (815) 344-8957
Mailing address
3707 Doty Rd, Suite G
Woodstock, IL 60098-7530
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner Primary | 363LP0200X | None listed |
Pediatric Nurse Practitioner: Definition to come...
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- David K. Hansen, CRNACertified Registered Nurse Anesthetist Mchenry, IL NPI 1558303669
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About NPI 1144279100
Susan Wilde, CNP's National Provider Identifier is 1144279100, issued on May 8, 2006. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Mchenry, IL. The record was last updated on Aug 31, 2007.