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Dr. Randall E Wiley, DC,MSN,ARNP
Family Nurse Practitioner in Omak, Washington
NPI 1013029735

Randall E Wiley is a Family Nurse Practitioner based in Nespelem, WA and is specialized in Family. Randall E Wiley practices in Omak, WA and has the professional credentials of DC,MSN,ARNP. The NPI Number for Randall E Wiley is 1013029735 and holds a License No. 0104556249 (Washington).

The current practice location address for Randall E Wiley is 617 Benton St, Omak, WA and can be reached out via phone at 509-422-7416. You can also correspond with Randall E Wiley through the mailing address at PO BOX 70, NESPELEM, WA - 99155-0070 (mailing address contact number: 509-634-2900).

Location: 617 Benton St, Omak, WA, 99155-0070
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1013029735
Provider Name
Randall E Wiley
Credential
DC,MSN,ARNP
Provider Entity Type
Individual
Gender
Male
Address
617 Benton St, Omak, WA, 99155-0070
Phone Number
509-422-7416
Fax Number
Provider Enumeration Date
08/31/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0104556249 01 VA VA STATE LICENSE
institution
Provider Business Practice Location Address Details
Address
617 Benton St
City
Omak
State
Washington
Zip
98841-9636
Phone Number
509-422-7416
Fax Number
person
Provider Business Mailing Address Details
Address
617 Benton St
City
Omak
State
Washington
Zip
98841-9636
Phone Number
509-422-7416
Fax Number
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
N361159228 (Washington)
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
0104556249 (Virginia)
Definition
Definition to come...
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