Individual
MARILYN JANE WILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1650 W 76TH PL, INDIANAPOLIS, IN 46260-3212
(317) 875-0471
Mailing address
1650 W 76TH PL, INDIANAPOLIS, IN 46260-3212
(317) 875-0471
Taxonomy
Speciality
Code
Description
License number
State
364SG0600X
Gerontology Clinical Nurse Specialist
Primary
28105458A
IN
Other
Enumeration date
11/01/2006
Last updated
07/08/2007
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