National Provider Identifier
Sallie Wild
Sallie Wild is listed in the NPPES registry with a primary specialty of Registered Nurse in Rochester, NY and a listed phone number of (585) 704-4870.
Profile Overview
- NPI
- 1871176735
- Provider Type
- Individual
- Primary Specialty
- Registered Nurse
- Enumeration Date
- April 29, 2021
- Last Updated
- April 29, 2021
Practice Location
- 1183 Monroe Ave
- Rochester, NY 14620-1662
Phone: (585) 704-4870
Specialties
- Registered Nurse (163W00000X)
Full Record
- NPI
- 1871176735
- Entity Type
- Individual
- Last Name
- Wild
- First Name
- Sallie
- Mailing Street Address
- 1183 Monroe Ave
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14620-1662
- Mailing Country
- US
- Mailing Phone
- (585) 704-4870
- Practice Street Address
- 1183 Monroe Ave
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14620-1662
- Practice Country
- US
- Practice Phone
- (585) 704-4870
- Enumeration Date
- April 29, 2021
- Last Updated
- April 29, 2021
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- April 29, 2021
- Taxonomies
- Registered Nurse (163W00000X)