Individual provider · Type 1 NPI
Stacy M. Wiley, NURSE PRACTITIONER
Nurse Practitioner · Bridgeton, MO
Practice location
12277 De Paul Dr Ste 403
Bridgeton, MO 63044-2536
Mailing address
PO Box 955534
St. Louis, MO 63195-5534
Other practice locations
- 3933 S Broadway, St. Louis, MO 63118-4696 · (314) 865-7924
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | 2022044057 (MO) |
| Nurse Practitioner Primary | 363L00000X | 2022044057 (MO) |
Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…
3 other providers at this address
Other nurse practitioner providers in Bridgeton
- Debra E. Solom, A.N.P.Nurse Practitioner Bridgeton, MO NPI 1003848516
- Van B. HoNurse Practitioner Bridgeton, MO NPI 1144844309
- Lavada Jean Smith, ANPNurse Practitioner Bridgeton, MO NPI 1164691945
- Bryan John Goss, ACNPNurse Practitioner Bridgeton, MO NPI 1164970364
- Sijuola Noimot Adelekan, NPNurse Practitioner Bridgeton, MO NPI 1184579377
- Hiwot WoldgeorgisNurse Practitioner Bridgeton, MO NPI 1265856215
- Amanda Michelle Huxtable, AGPCNP-CNurse Practitioner Bridgeton, MO NPI 1295253581
- Rebecca Deatherage Buwalda, APRNBCNurse Practitioner Bridgeton, MO NPI 1366477226
About NPI 1669176046
Stacy M. Wiley, NURSE PRACTITIONER's National Provider Identifier is 1669176046, issued on Mar 29, 2023. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Bridgeton, MO. The record was last updated on Oct 27, 2023.