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Individual
GLEN WILEY
Active
Individual
GLEN WILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
APRN, FNP-C
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
1031197
TX
363LF0000X
Family Nurse Practitioner
2025038559
MO
363LF0000X
Family Nurse Practitioner
Primary
95017368
CA
Other
Enumeration date
05/07/2021
Last updated
07/14/2026
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