| Provider / Organization | NPI | Date Certified |
|---|---|---|
| DENA MARIE WILEY | 1558076505 | 2023-01-13 |
Dena Marie Wiley is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1558076505. Registration indicates Dena Marie Wiley is a provider of services with a specialization in Other Service Providers, Peer Specialist (Peer Specialist, Other Service Providers) (Peer Specialist, )
| Entity Type | Individual |
| Provider Name | Dena Marie Wiley |
| Practice Office Address | 1803 S WOOD DR OKMULGEE, OK US |
| Practice Office Telephone | 9187569250 |
| Practice Office Fax | 9187569187 |
| Mailing Address | 708 WASHINGTON AVE SAND SPRINGS, OK 740637927 US |
| Business Telephone | 9189337219 |
| Other URL [] | [email protected] |
| Code | Practice | License No State |
|---|---|---|
| 175T00000X PRIMARY | Other Service Providers Peer Specialist Peer Specialist Other Service Providers Peer Specialist | |
| 193400000X SING | Group Code |