| Emily Kate Wild, CNP | |
|
20 5th St Se, Cook, MN 55723-9702 | |
| (218) 666-5941 | |
| Not Available |
| Full Name | Emily Kate Wild |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 20 5th St Se, Cook, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578211595 | NPI | - | NPPES |
| 9689 | Other | MN | MINNESOTA BOARD OF NURSING |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163WC0200X | Registered Nurse - Critical Care Medicine | 2224114 (Minnesota) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 9689 (Minnesota) | Primary |
| Entity Name | Cook Area Health Services, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174596027 PECOS PAC ID: 4880681303 Enrollment ID: O20040427001470 |
| Mailing Address | Practice Location Address |
|---|---|
| Emily Kate Wild, CNP 4396 Oakhurst Ave, Vadnais Heights, MN 55127-3589 Ph: (218) 591-1678 | Emily Kate Wild, CNP 20 5th St Se, Cook, MN 55723-9702 Ph: (218) 666-5941 |
Rachel S Beldo-rosa, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 20 5th St Se, Cook, MN 55723 Phone: 218-666-5941 | |
Dr. Stephanie Rae Lantry, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 20 5th St Se, Cook, MN 55723 Phone: 218-666-5941 | |
Mary Frances Hughes, N.P. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 20 5th St Se, Cook, MN 55723 Phone: 218-666-5941 Fax: 218-666-5099 |