Active NPIIndividual providerSole proprietor

Alfred Wilde, CRNA

Registered Nurse in Tewksbury, Massachusetts

NPI Number1073651246
Practice location
201 Carter St, Tewksbury, MA 01876-1425
Fax
—
Last updated
November 28, 2011

Alfred Wilde is a Registered Nurse based in Tewksbury, MA. Alfred Wilde practices in Tewksbury, MA and has the professional credentials of CRNA. The NPI Number for Alfred Wilde is 1073651246 and holds a License No. 158640 (MA). The current practice location address for Alfred Wilde is 201 Carter St, Tewksbury, MA 01876-1425 and can be reached out via phone at 978-640-0004.

Provider Profile Details

NPI Number
1073651246
Provider Name
Alfred Wilde
Credential
CRNA
Provider Entity Type
Individual
Gender
Male
Address
201 Carter St, Tewksbury, MA 01876-1425
Phone Number
978-640-0004
Primary Taxonomy
Registered Nurse · 163W00000X
Sole Proprietor
Yes
Provider Enumeration Date
February 1, 2007
Last Update Date
November 28, 2011
NPI Status
Active

Provider Business Practice Location Address Details

Address
201 Carter St
Tewksbury, MA 01876-1425
Zip
01876-1425
Phone Number
978-640-0004
Tewksbury, MA 01876Get directions →

Provider Business Mailing Address Details

Address
201 Carter St
Tewksbury, MA 01876-1425
City
Tewksbury
State
MA
Zip
01876-1425

License Information

License Number
158640
License State
MA
Taxonomy
Registered Nurse · 163W00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Alfred Wilde, CRNA?

The NPI number of Alfred Wilde, CRNA is 1073651246. It was assigned on February 1, 2007 and is currently active in the NPPES registry.

What is the specialty of Alfred Wilde, CRNA?

Alfred Wilde, CRNA is registered under the primary taxonomy Registered Nurse (code 163W00000X), licensed in MA under license number 158640.

Where does Alfred Wilde, CRNA practice?

The practice location is 201 Carter St, Tewksbury, MA 01876-1425. The office can be reached at 978-640-0004 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1073651246 directly on the NPPES registry website.

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