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Contact Information

MANDY L WILDE, CNP
104 W BIRCH ST
ARLINGTON, SD57212
 Phone: 605-983-3283
 Fax: 605-983-5112
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Practitioner

363L00000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for MANDY L WILDE · (Female)

NPI # 1316456908
Status Active
Credentials CNP (Certified Nurse Practitioner)
Entity Individual
Enumeration date 09/26/2017
Last updated 07/21/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • SD License # CP001281
Hospital affiliation(s)
  • BROOKINGS HOSPITAL - (Acute Care)
    300 22ND AVE
    BROOKINGS, SD 57006
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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