Individual
MRS. JANET WILES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1-076973
AL
363LG0600X
Gerontology Nurse Practitioner
Primary
1-076973
AL
Other
Enumeration date
04/21/2019
Last updated
08/24/2022
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