Wiley, Madeline D

Wiley, Madeline D is an individual health care provider with primary practice located at 10024 Se 240Th St #201, Kent WA 98031-5124. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Wiley, Madeline D can be contacted via phone (253) 859-2273.

Contact Information

Primary practice address
10024 Se 240Th St #201 Kent WA 98031-5124
Phone: (253) 859-2273
Fax: (253) 850-8894
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X AP30001318 Washington

Profile Details

NPI number 1932195526
LBN Legal business name Wiley, Madeline D
Credentials MSN ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 2005
Last updated Jul 22nd, 2022 - about 2 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1932195526 NPPES
Washington MEDICAID 9600396

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