Individual
MRS. ANTHESNIA E. WILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NNP-BC
Contact information
Practice address
1906 BELLEVIEW AVE SE, ROANOKE, VA 24014-1838
(540) 981-7000
Mailing address
PO BOX 13966, ROANOKE, VA 24038-3966
(540) 981-7000
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
0024171632
VA
Other
Enumeration date
12/15/2013
Last updated
07/22/2014
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