Individual provider · Type 1 NPI
Wendy Wiley, PA
Medical Physician Assistant · Occidental, CA
NPI number
1720192487
Active
Practice location
3802 Main St
Occidental, CA 95465
Fax (707) 874-1664
Mailing address
PO Box 1449
Guerneville, CA 95446-1449
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | PA11243 (CA) |
Medical Physician Assistant: Definition to come...
2 other providers at this address
About NPI 1720192487
Wendy Wiley, PA's National Provider Identifier is 1720192487, issued on Aug 19, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Occidental, CA. The record was last updated on Jun 25, 2015.