NPI 1003199480

Deanna M Wildes, RNBSN

Practitioner Nurse Practitioner Savannah, GA

Practice location

Address: 4750 Waters Avenue Suite 500, Savannah, GA 31404-6261
Phone: (912) 352-8346
Fax: (912) 355-1414
Mailing address: PO Box 116336, Atlanta, GA 30368-6336

Registered specialties

Nurse Practitioner Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363L00000X Licence RN077963 (GA)

Other Nurse Practitioner providers in Georgia →

Registry record

NPI: 1003199480
Entity type: Individual
Sex (as registered): Female
NPI issued: 22 Sep 2011
Record last updated: 13 Sep 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.