Individual
BETHANY WILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
913 RIDGEBROOK RD STE 312, SPARKS GLENCOE, MD 21152-9457
(410) 769-8801
(410) 769-8803
Mailing address
913 RIDGEBROOK RD STE 312, SPARKS GLENCOE, MD 21152-9457
(410) 769-8801
(410) 769-8803
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
R244909
MD
Other
Enumeration date
10/14/2025
Last updated
10/14/2025
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