Individual
MISS AMANDA KAY WILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
300 CORPORATE CENTER DRIVE, ATTN: CARDIOLOGY, SCOTT DEPOT, WV 25560
(304) 691-6732
(304) 691-6919
Mailing address
107 STONEBROOK DR, HURRICANE, WV 25526-8822
(304) 972-3141
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
121532
WV
Other
Enumeration date
03/13/2025
Last updated
01/02/2026
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