| NPI | 1790244218 |
|---|---|
| Former Name | CHELSEA ANN WILEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95005693) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 344156) |
| Enumeration Date | 2019-03-14 |
| Last Update Date | 2025-06-13 |