| NPI | 1003267923 |
|---|---|
| Other Name | CHANLEY BROOKS WILEY |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: UT 8311379-4405) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NV APRN002314) |
| 363LF0000X Nurse Practitioner, Family (Licence: UT 8311379-4405) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NV APRN002314) | |
| Enumeration Date | 2016-06-22 |
| Last Update Date | 2018-05-29 |