MEDICARE: EDRIS J WILDS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163W00000X	Registered Nurse	RN 276021	OH

General Provider Information

NPI Number	:	1417105974
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EDRIS J WILDS

Provider Business Mailing Address
First Line	:	563 FOREDALE AVE
Second Line	:
City	:	TOLEDO
State	:	OH
Zip	:	43609-1321
Country	:	US
Telephone Number	:	419-460-1008
Fax Number	:

Provider Business Practice Location Address
First Line	:	563 FOREDALE AVE
Second Line	:
City	:	TOLEDO
State	:	OH
Zip	:	43609-1321
Country	:	US
Telephone Number	:	419-460-1008
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/08/2008
Last Update Date	:	09/08/2008

Similar Medicare Providers

1093117616 — MRS. CINDY MARSHALL M.A. CCC-SLP
Practice Location Address:

2422 CANNONS PARK RD
TOLEDO, OH
43617-1321

Practice Phone: 419-708-9552
Practice Fax:

1457985285 — ENDLESS POTENTIAL
Practice Location Address:

6800 WEST CENTRAL AVE , UNIT C-1
TOLEDO, OH
43617-1321

Practice Phone: 419-708-9552
Practice Fax:

1548917495 — 2ND PAIR OF HANDS RESIDENTIAL AND COMMERCIAL LLC
Practice Location Address:

1321 SHENANDOAH RD
TOLEDO, OH
43607-1762

Practice Phone: 419-508-9832
Practice Fax:

1104539261 — MAKAILA MARSHALL
Practice Location Address:

2422 CANNONS PARK RD
TOLEDO, OH
43617-1321

Practice Phone: 419-265-1554
Practice Fax:

1740982164 — ALISON KARPINSKI RN
Practice Location Address:

3501 EXECUTIVE PKWY
TOLEDO, OH
43606-1321

Practice Phone: 734-347-6800
Practice Fax:

1619741741 — WPP OH SUB, LLC
Practice Location Address:

3501 EXECUTIVE PKWY
TOLEDO, OH
43606-1321

Practice Phone: 419-531-9211
Practice Fax:

Directions to “ EDRIS J WILDS ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.