Individual
MRS. KRISTIANE WILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNS,MS,APNP
Contact information
Practice address
251 WOODLAKE DR SE, ROCHESTER, MN 55904-5530
(507) 206-2570
(651) 431-7758
Mailing address
1580 SANTA BARBARA BLVD, THE VILLAGES, FL 32159-6827
(352) 259-2159
(352) 259-5731
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
1400-033
WI
364S00000X
Clinical Nurse Specialist
Primary
APRN9363537
FL
364SP0813X
Geropsychiatric Psychiatric/Mental Health Clinical Nurse Specialist
1400-033
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
42238000
—
WI
Enumeration date
12/14/2005
Last updated
06/17/2020
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