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
Fax: (618) 615-4205
Website:

Health care specialties

SpecialtyCodeLicense #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 6 months ago

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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