Individual
CAROL A WILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
13975 MONO WAY, SUITE G, SONORA, CA 95370-2824
(209) 533-9600
(209) 533-9608
Mailing address
PO BOX 939, ANGELS CAMP, CA 95222-0939
(209) 754-6262
(209) 754-6274
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
7385
CA
363L00000X
Nurse Practitioner
NP7385
CA
Other
Enumeration date
11/18/2005
Last updated
11/09/2011
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