Wiley, Mylea Nichole

Wiley, Mylea Nichole is an sole proprietor health care provider with primary practice located at 7035 N Chestnut Ave Suite 105, Fresno CA 93720-0352. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is her primary health care specialty. Wiley, Mylea Nichole can be contacted via phone (559) 573-7260.

Contact Information

Primary practice address
7035 N Chestnut Ave Suite 105 Fresno CA 93720-0352
Fax: (559) 573-7254
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X A88917 California
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X A88917 California

Profile Details

NPI number 1275535627
LBN Legal business name Wiley, Mylea Nichole
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 15th, 2005
Last updated Sep 28th, 2017 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1275535627 NPPES
California MEDICAID 00A889170

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