MS. Sandra Kay Wiley, BSN, CCP, LP

NPI #1730495524 in Shavano Park, Texas

Provider Information

NPI Number: 1730495524
Entity Type: Individual
Name: MS. Sandra Kay Wiley, BSN, CCP, LP
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Perfusionist
Credential: BSN, CCP, LP
Enumeration Date: Aug 31, 2010
Last Updated: Aug 31, 2010

Practice Location

Address: 102 OTTAWA RUN
City: Shavano Park
State: Texas
ZIP Code: 78231-1455
Phone: (210) 493-7379

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Registered Nurse	163W00000X
Perfusionist	242T00000X	Primary

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