person
Wendy Wiley, PA
Medical Physician Assistant in Occidental, California
NPI 1720192487

Wendy Wiley is a Medical Physician Assistant based in Guerneville, CA and is specialized in Medical. Wendy Wiley practices in Occidental, CA and has the professional credentials of PA. The NPI Number for Wendy Wiley is 1720192487 and holds a License No. PA11243 (California).

The current practice location address for Wendy Wiley is 3802 Main St, Occidental, CA and can be reached out via phone at 707-874-2444 and via fax at 707-874-1664.

Location: 3802 Main St, Occidental, CA, 95446-1449
person
Provider Profile Details
NPI Number
1720192487
Provider Name
Wendy Wiley
Credential
PA
Provider Entity Type
Individual
Gender
Female
Address
3802 Main St, Occidental, CA, 95446-1449
Phone Number
707-874-2444
Fax Number
707-874-1664
Provider Enumeration Date
08/19/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
PA11243 01 CA STATE LICENSE NUMBER
1598768962 05 CA
institution
Provider Business Practice Location Address Details
Address
3802 Main St
City
State
Zip
95465
Phone Number
707-874-2444
Fax Number
707-874-1664
person
Provider Business Mailing Address Details
Address
3802 Main St
City
State
Zip
95465
Phone Number
707-874-2444
Fax Number
707-874-1664
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
PA11243 (California)
Definition
Definition to come...
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