Stephanie Rachel Wilder in Union City - Physician Assistant
Stephanie Rachel Wilder - NPI 1437177631
Stephanie Rachel Wilder is a Physician Assistant in Union City, Tennessee. Stephanie Rachel Wilder practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Stephanie Rachel Wilder is 1437177631. The last update date is 2017-04-26.
Stephanie Rachel Wilder's current location address is 1720 E Reefoot Avenue, Union City, Tennessee. You can contact this provider via phone number 7318858484 and fax number 7318841609. The mailing address for Stephanie Rachel Wilder is 1720 E Reefoot Avenue, Union City, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Stephanie Rachel Wilder |
|---|---|
| Address | 1720 E Reefoot Avenue, Union City, Tennessee |
| Phone Number | 7318858484 |
| Fax Number | 7318841609 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1437177631 |
|---|---|
| Provider Enumeration Date | 2006-07-17 |
| Last Updated Date | 2017-04-26 |
Provider Mailing Address Detail
| Address | 1720 E Reefoot Avenue |
|---|---|
| City | Union City |
| State | Tennessee (TN) |
| Post Code | 38261 |
| Phone Number | 7318858484 |
| Fax Number | 7318841609 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 1394 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 3664494 | TN | -- |
Post Comment/ Review Below
Could you provide the complete address where Stephanie Rachel Wilder is physically located?
The Stephanie Rachel Wilder is situated at the following address: 1720 E Reefoot Avenue, Union City, TN 38261.
Could you please share the complete physical location address where Stephanie Rachel Wilder's facilities are situated?
The facilities of Stephanie Rachel Wilder are physically located at the following address: 1720 E Reefoot Avenue, Union City, TN, 38261.
What is Stephanie Rachel Wilder's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Stephanie Rachel Wilder is Physician Assistant, and the corresponding taxonomy classification code for this specialized field is 363A00000X.
On what date did the Stephanie Rachel Wilder receive the assignment of its 1437177631 from the Centers for Medicare & Medicaid Services?
The Stephanie Rachel Wilder was issued its 1437177631 by the Centers for Medicare & Medicaid Services on 2006-07-17.
When was the information regarding Stephanie Rachel Wilder most recently updated?
The details pertaining to the Stephanie Rachel Wilder, including its address, specialty, and other relevant information, were last refreshed on 2017-04-26.