Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Audrey Anne Wildeman, PA-C

Individual provider Physician Assistant · NPI 1437675469

Audrey Anne Wildeman, PA-C is a Physician Assistant in Spartanburg, South Carolina. Licensed in South Carolina. Registered with an NPI since 2017.

Licensed in
SC
In the registry since
2017
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

3021 Reidville Rd
Spartanburg, SC 29301-5643
Phone: (864) 576-9201
Fax: (864) 576-6584
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 2742 (SC)

Record details

NPI number1437675469
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedAugust 22, 2017
Last updated in NPPESAugust 22, 2017

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