Individual
VICTORIA M. WILLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
1165 IMPERIAL DR STE 200, HAGERSTOWN, MD 21740-6583
(301) 466-5190
(301) 466-5190
Mailing address
8110 MAPLE LAWN BLVD STE 302, FULTON, MD 20759-2693
(301) 340-8339
(301) 340-9027
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R097221
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
482501201
—
MD
Enumeration date
09/28/2006
Last updated
12/05/2023
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