Individual
ELISE ANN K WILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
60 SECOND STREET, AUBURN, ME 04210-6853
(207) 783-3333
(207) 782-9723
Mailing address
PO BOX 1638, ALBANY, NY 12201-1638
(207) 777-4111
(207) 783-6660
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP081926
ME
Other
Enumeration date
08/03/2009
Last updated
02/24/2012
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