Individual provider · Type 1 NPI

Marina Wiley

Licensed Vocational Nurse · Vallejo, CA

NPI number 1699622852 Active

Practice location

1628 Broadway St Ste B
Vallejo, CA 94590-2405

Fax (707) 649-8302

Mailing address

5325 Delos Ct
Fairfield, CA 94534-4166

Specialties and licenses

TaxonomyCodeLicense
Licensed Vocational Nurse Primary 164X00000X230268 (CA)

Licensed Vocational Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. [An alternate term for licensed practical nurse arising from difference in occupational titles between states and post-high school training programs and institutions.] Requirements for education, experience, licensure, and job re…

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About NPI 1699622852

Marina Wiley's National Provider Identifier is 1699622852, issued on Mar 16, 2026. The primary taxonomy on file is Licensed Vocational Nurse (164X00000X), and the practice location is in Vallejo, CA. The record was last updated on Oct 14, 2026.