| 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 |