Individual
BETH ANNE WILES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN, FNP-C
Contact information
Practice address
9320 PARK WEST BLVD, KNOXVILLE, TN 37923-4301
(865) 373-7100
Mailing address
9320 PARK WEST BLVD, KNOXVILLE, TN 37923-4301
(865) 373-7100
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
25912
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q053034
—
TN
Enumeration date
08/10/2019
Last updated
11/18/2024
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