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Emily Kate Wild, CNP
Family Nurse Practitioner in Cook, Minnesota
NPI 1578211595

Emily Kate Wild is a Family Nurse Practitioner based in Vadnais Heights, MN and is specialized in Family. Emily Kate Wild practices in Cook, MN and has the professional credentials of CNP. The NPI Number for Emily Kate Wild is 1578211595 and holds a License No. 2224114 (Minnesota).

The current practice location address for Emily Kate Wild is 20 5Th St Se, Cook, MN and can be reached out via phone at 218-666-5941.

Location: 20 5Th St Se, Cook, MN, 55127-3589
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1578211595
Provider Name
Emily Kate Wild
Credential
CNP
Provider Entity Type
Individual
Gender
Female
Address
20 5Th St Se, Cook, MN, 55127-3589
Phone Number
218-666-5941
Fax Number
Provider Enumeration Date
03/17/2022
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
9689 01 MN MINNESOTA BOARD OF NURSING
institution
Provider Business Practice Location Address Details
Address
20 5Th St Se
City
Cook
State
Minnesota
Zip
55723-9702
Phone Number
218-666-5941
Fax Number
person
Provider Business Mailing Address Details
Address
20 5Th St Se
City
Cook
State
Minnesota
Zip
55723-9702
Phone Number
218-666-5941
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Critical Care Medicine
Taxonomy
163WC0200X
License No.
9689 (Minnesota)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
2224114 (Minnesota)
Definition
Definition to come...
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