Individual
MS. ALYSIA WILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2121 E HARMONY RD, STE 100, FORT COLLINS, CO 80528-3400
(970) 221-1000
(970) 297-6844
Mailing address
2695 ROCKY MOUNTAIN AVE, STE 150, LOVELAND, CO 80538-8702
(970) 221-1000
(970) 297-6844
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA.0003309
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
96325721
—
CO
Enumeration date
12/22/2011
Last updated
03/14/2016
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