Wiley, Donna Marie
Wiley, Donna Marie is an individual health care provider with primary practice located at 2420 State St , East Saint Louis IL 62205-2321. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Wiley, Donna Marie can be contacted via phone (618) 318-8809.Contact Information
Primary practice address
2420 State St
East Saint Louis IL 62205-2321
Phone: (618) 318-8809
Fax: (618) 615-4205
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 209016129 | Illinois |
Profile Details
NPI number | 1114446515 |
---|---|
LBN Legal business name | Wiley, Donna Marie |
Credentials | Nurse Practitioner (NP) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Sep 17th, 2017 |
Last updated | May 22nd, 2024 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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