Individual
AMY MICHELLE WILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
128 E. APPLE ST., DAYTON, OH 45409-2793
(937) 208-2312
Mailing address
5401 BAYSIDE DR, RIVERSIDE, OH 45431-2103
(937) 479-6659
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
COA. 17530-NP
OH
Other
Enumeration date
09/21/2015
Last updated
09/21/2015
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