Individual
DANDRIA T WILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
4018 MAGAZINE ST, NEW ORLEANS, LA 70115-2749
(504) 897-9200
(504) 897-9234
Mailing address
182 HANNIBAL CT, BILOXI, MS 39530-3916
(228) 324-9236
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP05810
LA
Other
Enumeration date
06/20/2009
Last updated
06/20/2009
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