Individual
KRISSA WILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
305 E HICKMAN RD, WAUKEE, IA 50263-5005
(515) 643-7090
Mailing address
1415 1ST ST, REDFIELD, IA 50233-1003
(515) 361-2171
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
A190633
IA
Other
Enumeration date
04/07/2026
Last updated
04/07/2026
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