Individual provider · Type 1 NPI

Matthew Wilder, RN

Emergency Registered Nurse · Gallup, NM

NPI number 1710508056 Active

Practice location

516 E Nizhoni Blvd
Gallup, NM 87301-5748

Mailing address

507 Farley St
Waxahachie, TX 75165-2752

Specialties and licenses

TaxonomyCodeLicense
Emergency Registered Nurse Primary 163WE0003X969931 (TX)

Emergency Registered Nurse: Definition to come...

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About NPI 1710508056

Matthew Wilder, RN's National Provider Identifier is 1710508056, issued on Apr 28, 2020. The primary taxonomy on file is Emergency Registered Nurse (163WE0003X), and the practice location is in Gallup, NM. The record was last updated on Apr 28, 2020.