Individual ProviderAshley Laughlin WilderNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address525 E Main St, El Cajon, CA 92020-4007(619) 515-2498(619) 515-2300PECOS EnrollmentBased on the most recent information from CMS, provider Ashley Laughlin Wilder does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1750766895Provider TypeIndividualFull NameWilder, Ashley LaughlinCredentialA.P.R.N., C.N.PGenderFemaleSole ProprietorNoEnumeration Date7/29/2015Last Updated1/12/2021Contact InformationPractice LocationPractice Address525 E Main St, El Cajon, CA 92020-4007Phone(619) 515-2498FaxUnlisted FaxMailing LocationMailing Address823 Gateway Center Way, San Diego, CA 92102-4541Phone(619) 515-2300FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363LF0000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicense95016274CaliforniaCode363LF0000XDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicense17545Ohio