Individual
NATHAN WILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DNP, APRN, FNP-C
Contact information
Practice address
1561 W 7000 S STE 200, WEST JORDAN, UT 84084-3556
(801) 263-0717
(801) 266-2362
Mailing address
1561 W 7000 S STE 200, WEST JORDAN, UT 84084-3556
(801) 263-0717
(801) 266-2362
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
8927878-3102
UT
363LF0000X
Family Nurse Practitioner
Primary
8927878-8900
UT
Other
Enumeration date
03/04/2015
Last updated
08/10/2021
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