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Individual
ELIZABETH J WILEY
Active
Individual
ELIZABETH J WILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
660449
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
177443201
—
TX
05
—
177443202
—
TX
05
—
177443203
—
TX
05
—
177443204
—
TX
01
—
8N9409
BCBS OF TEXAS
TX
01
—
P00315230
RAILROAD MEDICARE
TX
Enumeration date
02/07/2006
Last updated
03/03/2011
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