Individual provider · Type 1 NPI
Phyllis Wilder, RN
Case Management Registered Nurse · Virginia Beach, VA
NPI number
1487706222
Active
Practice location
2132 Mill Crossing Dr Apt 206
Virginia Beach, VA 23454-1263
Fax (757) 961-6568
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Case Management Registered Nurse Primary | 163WC0400X | 1-023054 (AL) |
Case Management Registered Nurse: Definition to come...
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About NPI 1487706222
Phyllis Wilder, RN's National Provider Identifier is 1487706222, issued on Jan 18, 2007. The primary taxonomy on file is Case Management Registered Nurse (163WC0400X), and the practice location is in Virginia Beach, VA. The record was last updated on Jul 8, 2007.