Individual
AMY WILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1500 29TH AVE N, ST PETERSBURG, FL 33704-2535
(858) 220-3598
Mailing address
1500 29TH AVE N, ST PETERSBURG, FL 33704-2535
(858) 220-3598
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
11038062
FL
Other
Enumeration date
03/05/2025
Last updated
03/05/2025
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