Individual provider · Type 1 NPI
Sean M. Wilder, APRN-C
Primary Care Nurse Practitioner · Tampa, FL
NPI number
1275916165
Active
Practice location
1919 W Swann Ave Fl 2
Tampa, FL 33606-2417
Fax (813) 443-8164
Mailing address
2995 Drew St Fl 2
Clearwater, FL 33759-3012
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | 28224842A (IN) |
| Primary Care Nurse Practitioner Primary | 363LP2300X | APRN11001912 (FL) |
Primary Care Nurse Practitioner: Definition to come...
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About NPI 1275916165
Sean M. Wilder, APRN-C's National Provider Identifier is 1275916165, issued on Jul 9, 2015. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Tampa, FL. The record was last updated on May 8, 2019.