Wiles, Amanda S

Wiles, Amanda S is an individual health care provider with primary practice located at 904 5Th Ave Ne , Jamestown ND 58401-3437. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Occupational Health. Physician Assistants & Advanced Practice Nursing Providers / Occupational Health is her primary health care specialty. Wiles, Amanda S can be contacted via phone (701) 253-4000.

Contact Information

Primary practice address
904 5Th Ave Ne Jamestown ND 58401-3437
Phone: (701) 253-4000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 2013001306 Missouri
Physician Assistants & Advanced Practice Nursing Providers / Occupational Health 363LX0106X R39620 North Dakota

Profile Details

NPI number 1144568767
LBN Legal business name Wiles, Amanda S
Credentials NP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 17th, 2013
Last updated Aug 12th, 2014 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1144568767 NPPES
North Dakota MEDICAID 84313

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