Ms Sandra Kay Wiley, BSN, CCP, LP | |
102 Ottawa Run, Shavano Park, TX 78231-1455 | |
(210) 493-7379 | |
(210) 493-9567 |
Full Name | Ms Sandra Kay Wiley |
---|---|
Gender | Female |
Speciality | Perfusionist |
Location | 102 Ottawa Run, Shavano Park, Texas |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1730495524 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | TX224548 (Texas) | Secondary |
242T00000X | Perfusionist | PF0138 (Texas) | Primary |
Mailing Address | Practice Location Address |
---|---|
Ms Sandra Kay Wiley, BSN, CCP, LP 102 Ottawa Run, Shavano Park, TX 78231-1455 Ph: (210) 493-7379 | Ms Sandra Kay Wiley, BSN, CCP, LP 102 Ottawa Run, Shavano Park, TX 78231-1455 Ph: (210) 493-7379 |