Eboni Renee Wyllie, | |
15 Ridgley St, Hackettstown, NJ 07840-3452 | |
(347) 668-5351 | |
Not Available |
Full Name | Eboni Renee Wyllie |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Pediatrics |
Location | 15 Ridgley St, Hackettstown, New Jersey |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1033818331 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP0200X | Nurse Practitioner - Pediatrics | 383395 (New York) | Primary |
Mailing Address | Practice Location Address |
---|---|
Eboni Renee Wyllie, 15 Ridgley St, Hackettstown, NJ 07840-3452 Ph: (347) 668-5351 | Eboni Renee Wyllie, 15 Ridgley St, Hackettstown, NJ 07840-3452 Ph: (347) 668-5351 |
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