Individual
MICHELLE M WILE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
1701 INNOVATION DR, YORK, PA 17408-8815
(717) 850-4040
(717) 850-4144
Mailing address
PO BOX 858, MC A410, HERSHEY, PA 17033-0858
(800) 243-1455
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
SP014560
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1031428170001
—
PA
Enumeration date
12/24/2014
Last updated
12/20/2022
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