Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SUSAN WILDE, CNP
ActiveSUSAN WILDE, CNP is a Pediatric Nurse Practitioner healthcare provider located in MCHENRY, Illinois. NPI 1144279100 is currently active in the NPPES registry. Verify at CMS.
Pediatric Nurse Practitioner · MCHENRY, IL
Registration Details
- NPI Number
- 1144279100
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 8, 2006 (20.262692826642 yrs)
- Last Updated
- Aug 31, 2007
Practice Information
- Address
-
4309 W MEDICAL CENTER DRB310MCHENRY, IL, 600508419Browse IL providers · Browse ZIP 60050
- Phone
- 8153440900
- Fax
- 8153448957
- Primary Specialty
-
Pediatric Nurse Practitioner
363LP0200X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.