# DANIELLE N. WILEY

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1598190365
- **Gender:** F
- **Credential:** PA

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363A00000X | Physician Assistant | PA56982 | CA | Yes |
| 363A00000X | Physician Assistant | — | WA | — |

## Other

- **Enumeration date:** 09/11/2013
- **Last updated:** 01/09/2025