Wiley, Georgena D
Wiley, Georgena D is an individual health care provider with primary practice located at 4801 S Cooper St , Arlington TX 76017-5928. She recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Primary Care, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Wiley, Georgena D can be contacted via phone (817) 557-8706.Contact Information
Primary practice address
4801 S Cooper St
Arlington TX 76017-5928
Phone: (817) 557-8706
Fax: (817) 557-8740
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Nursing Service Providers / Registered Nurse | 163W00000X | 796624 | California |
Physician Assistants & Advanced Practice Nursing Providers / Primary Care | 363LP2300X | 22949 | California |
Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | AP129659 | Texas |
Profile Details
NPI number | 1346587680 |
---|---|
LBN Legal business name | Wiley, Georgena D |
Credentials | FNP-BC, RN |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jan 7th, 2013 |
Last updated | Oct 22nd, 2016 - about 8 years 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1346587680 | NPPES |
Texas | MEDICAID | 1346587680 | |
Texas | MEDICAID | 01062013391728 |
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