NPI 1679456750

Tammy Louise Wilder

Practitioner Community Health Worker Mishawaka, IN

Practice location

Address: 611 E Douglas Rd STE 405, Mishawaka, IN 46545-1468
Phone: (574) 335-6399

Registered specialties

Community Health Worker Primary

Other Service Providers Taxonomy 172V00000X

Other Community Health Worker providers in Indiana →

Registry record

NPI: 1679456750
Entity type: Individual
Sex (as registered): Female
NPI issued: 28 Jul 2025
Record last updated: 28 Jul 2025

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.