Individual provider · Type 1 NPI

Shelly Mae Wiley

Registered Nurse · Fort Leonard Wood, MO

NPI number 1497624688 Active

Practice location

4430 Missouri Ave
Fort Leonard Wood, MO 65473-9098

Call (573) 774-9106 Map

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse Primary 163W00000X119027 (MO)

Registered Nurse: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient…

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About NPI 1497624688

Shelly Mae Wiley's National Provider Identifier is 1497624688, issued on Nov 4, 2025. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in Fort Leonard Wood, MO. The record was last updated on Nov 4, 2025.