Sandra Marie Wilde, RN is a
Registered Nurse based in Wardsville, Missouri. Sandra Marie Wilde is licensed to practice in Missouri (license number 140849) and her current practice location is
1601 S Oaks Dr, Wardsville, Missouri. She can be reached at her office (for appointments etc.) via phone at
(573) 619-4534.
NPI number for Sandra Marie Wilde is 1851163646 and her current mailing address is 1125 Madison St, Jefferson City, Missouri. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1851163646.
Provider's Profile
Full Name | Sandra Marie Wilde |
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Gender | Female |
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Speciality | Registered Nurse |
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Location | 1601 S Oaks Dr, Wardsville, Missouri |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1851163646
- Provider Enumeration Date: 10/25/2023
- Last Update Date: 10/25/2023
Medical Identifiers
Medical identifiers for Sandra Marie Wilde such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1851163646 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
163W00000X | Registered Nurse | 140849 (Missouri) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Sandra Marie Wilde is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Sandra Marie Wilde, RN 1125 Madison St, Jefferson City, MO 65101-5200 Ph: (573) 632-5000 | Sandra Marie Wilde, RN 1601 S Oaks Dr, Wardsville, MO 65101-8495 Ph: (573) 619-4534 |
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