Individual provider · Type 1 NPI
Randall E. Wiley, DC, MSN, ARNP
Family Nurse Practitioner · Leonardtown, MD
NPI number
1013029735
Active
Practice location
23511 Hollywood Rd Ste 2
Leonardtown, MD 20650-5922
Fax (855) 253-1610
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor | 111N00000X | 0104556249 (VA) |
| Primary Care Nurse Practitioner | 363LP2300X | R268981 (MD) |
| Family Nurse Practitioner Primary | 363LF0000X | R268981 (MD) |
Family Nurse Practitioner: Definition to come...
2 other providers at this address
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- Morgan Victoria Hensley, CRNPFamily Nurse Practitioner Leonardtown, MD NPI 1356047948
- Ashley DearstineFamily Nurse Practitioner Leonardtown, MD NPI 1356701593
- Alexis Anne Bautochka, CRNPFamily Nurse Practitioner Leonardtown, MD NPI 1376104976
- Candace D. Edick, FNPFamily Nurse Practitioner Leonardtown, MD NPI 1396441523
About NPI 1013029735
Randall E. Wiley, DC, MSN, ARNP's National Provider Identifier is 1013029735, issued on Aug 31, 2006. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Leonardtown, MD. The record was last updated on Apr 22, 2025.