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MR. NICHOLAS ALAN WILEY NPI 1467701425


NPI Information

NPI: 1467701425
Provider Name: MR. NICHOLAS ALAN WILEY
Classification: Military Health Care Provider - 1710I1002X
Entity Type: Individual

Specialization: Independent Duty Corpsman

PECOS Registration: Yes

Address:
1038 MEADOW REACH TRL
SANFORD, NC
ZIP 27332
Phone: (816) 588-8596
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MR. Nicholas Alan Wiley is an independent duty corpsman military health care provider in Sanford, NC with 6 years of experience. The provider is a Navy Independent Duty Corpsman (IDC) is an active duty Sailor who has successfully completed one of the Navy's specific IDC training programs. IDCs are formally trained and educated to perform primary medical care and minor surgical services in a variety of health care and non-health care settings worldwide under indirect physician supervision. IDCs provide care to Department of Defense operational forces and other supporting forces such as contractors and foreign nationals. MR. Nicholas Alan Wiley NPI is 1467701425. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1038 MEADOW REACH TRL
SANFORD, NC
ZIP 27332-333
Phone: (816) 588-8596

The NPI 1467701425 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 9/6/2012 and was last updated on 9/6/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11710I1002XMilitary Health Care ProviderIndependent Duty CorpsmanYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.