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Individual
GEORGENA D WILEY
Active
Individual
GEORGENA D WILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC, RN
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
796624
CA
363LF0000X
Family Nurse Practitioner
Primary
277001162
IL
363LF0000X
Family Nurse Practitioner
AP129659
TX
363LP2300X
Primary Care Nurse Practitioner
22949
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01062013391728
—
CA
05
—
1346587680
—
TX
Enumeration date
01/07/2013
Last updated
06/18/2026
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