Individual provider · Type 1 NPI

Mary Wildeman

Family Nurse Practitioner · Nashville, TN

NPI number 1790379618 Active

Practice location

501 Great Circle Rd Fl 3
Nashville, TN 37228-1317

Call (615) 436-9060 Map

Fax (615) 235-9725

Mailing address

10400 Far View Dr
Evansville, IN 47712-8946

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X28203347A (IN)

Family Nurse Practitioner: Definition to come...

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About NPI 1790379618

Mary Wildeman's National Provider Identifier is 1790379618, issued on Feb 22, 2021. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Nashville, TN. The record was last updated on May 14, 2026.