Individual
MRS. ELFREDA RUTH WILES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AGNP
Contact information
Practice address
9300 DEWITT LOOP, FORT BELVOIR, VA 22060-5285
(571) 723-0234
(571) 231-6614
Mailing address
1982 MAYFLOWER DR, WOODBRIDGE, VA 22192-2338
(571) 723-0234
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
002417563
VA
Other
Enumeration date
04/15/2017
Last updated
05/16/2024
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