Wiley, Tracey Elizabeth

Wiley, Tracey Elizabeth is an individual health care provider with primary practice located at 12 St Paul Dr Ste 210 , Chambersburg PA 17201-1035. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Wiley, Tracey Elizabeth can be contacted via phone (717) 217-6820.

Contact Information

Primary practice address
12 St Paul Dr Ste 210 Chambersburg PA 17201-1035
Phone: (717) 217-6820
Fax: (717) 217-6942
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X TP005855B Pennsylvania

Profile Details

NPI number 1194785162
LBN Legal business name Wiley, Tracey Elizabeth
Credentials CRNP
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 24th, 2006
Last updated Apr 29th, 2020 - about 6 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 1194785162 NPPES
Pennsylvania MEDICAID 102556669
Pennsylvania Other TP005855B
Pennsylvania Other 867633
Pennsylvania Other 1007307260034
Pennsylvania Other 25-1716306
Pennsylvania MEDICAID 102556669 0001
Pennsylvania Other 25-1716306

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