Individual
CHRISTINA WILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, APRN, CPNP
Contact information
Practice address
87 THOMAS JOHNSON DR STE 101, FREDERICK, MD 21702-4427
(301) 694-0606
Mailing address
24801 227TH ST, LEAVENWORTH, KS 66048-7752
(913) 680-8480
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
R268705
MD
Other
Enumeration date
01/27/2022
Last updated
10/26/2024
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