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Contact Information

GAIL S WILD, CNP
2200 13TH AVE
BELLE FOURCHE, SD57717
 Phone: 605-892-2701
 Fax: 605-644-4197
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for GAIL S WILD · (Female)

NPI # 1629016480
Status Active
Credentials CNP (Certified Nurse Practitioner)
Entity Individual
Enumeration date 06/03/2006
Last updated 01/24/2013 - About 13 years ago
Sole proprietor 1 No
Identifiers
  • SD License # 0204
  • SD License # R018558
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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