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Individual

AMANDA WILEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
601 VERSAILLES RD, FRANKFORT, KY 40601-3857
(502) 695-3946
(877) 569-3088
Mailing address
6101 BLUE LAGOON DR STE 200, MIAMI, FL 33126-3168

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
3012154
KY
363LF0000X
Family Nurse Practitioner
Primary
3012154
KY
363LF0000X
Family Nurse Practitioner
71011333A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7100529160
KY
01
K354370
MEDICARE
KY
Enumeration date
03/20/2018
Last updated
10/24/2025
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