Individual
MRS. ASHLEY WILES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
A.P.R.N.
Contact information
Practice address
175 US ROUTE 1, SCARBOROUGH, ME 04074-9048
(207) 396-7700
(207) 396-7701
Mailing address
190 RIVERSIDE ST, SUITE 6B, PORTLAND, ME 04103-1073
(207) 661-2000
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
CNP141029
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1546671365
—
ME
Enumeration date
05/14/2014
Last updated
10/07/2019
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