Individual provider · Type 1 NPI

Candice H. Wild, FNP

Family Nurse Practitioner · Covington, LA

NPI number 1730731043 Active

Practice location

1970 N Highway 190
Covington, LA 70433-5364

Call (985) 892-5355 Map

Fax (985) 256-5687

Mailing address

PO Box 3370
Covington, LA 70434-3370

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X204744 (LA)

Family Nurse Practitioner: Definition to come...

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About NPI 1730731043

Candice H. Wild, FNP's National Provider Identifier is 1730731043, issued on Jul 16, 2019. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Covington, LA. The record was last updated on Jul 16, 2019.