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Glen Wiley, APRN,FNP-C
Family Nurse Practitioner in Upland, California
NPI 1154905982

Glen Wiley is a Family Nurse Practitioner based in Upland, CA and is specialized in Family. Glen Wiley practices in Upland, CA and has the professional credentials of APRN,FNP-C. The NPI Number for Glen Wiley is 1154905982 and holds a License No. 1031197 (California).

The current practice location address for Glen Wiley is 1647 W Ponderosa Way, Upland, CA and can be reached out via phone at 909-697-6769.

Location: 1647 W Ponderosa Way, Upland, CA, 91784-7454
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1154905982
Provider Name
Glen Wiley
Credential
APRN,FNP-C
Provider Entity Type
Individual
Gender
Male
Address
1647 W Ponderosa Way, Upland, CA, 91784-7454
Phone Number
909-697-6769
Fax Number
Provider Enumeration Date
05/07/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1647 W Ponderosa Way
City
Upland
State
California
Zip
91784-7454
Phone Number
909-697-6769
Fax Number
person
Provider Business Mailing Address Details
Address
1647 W Ponderosa Way
City
Upland
State
California
Zip
91784-7454
Phone Number
909-697-6769
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
1031197 (Texas)
Definition
Definition to come...
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