Individual
MRS. JULIE MARIE WYLIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP-C
Contact information
Practice address
708 S TIMBERLANE DR STE A, EL DORADO, AR 71730-6991
(870) 639-6465
(870) 639-6470
Mailing address
708 S TIMBERLANE DR STE A, EL DORADO, AR 71730-6991
(870) 639-6465
(870) 639-6470
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
A003456
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5V322
ARKANSAS BCBS
AR
Enumeration date
02/20/2008
Last updated
12/18/2024
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