Individual
AMY WILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
49 ROCK SPRINGS RD, CONOWINGO, MD 21918-1352
(410) 378-9696
Mailing address
PO BOX 99, CONOWINGO, MD 21918-0099
(410) 378-9696
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R191102
MD
Other
Enumeration date
07/26/2018
Last updated
07/26/2018
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