Provider Demographics
NPI:1447076542
Name:WILEY, JOSIE CHENEN
Entity type:Individual
Prefix:
First Name:JOSIE
Middle Name:CHENEN
Last Name:WILEY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 OXFORD DR APT 921
Mailing Address - Street 2:
Mailing Address - City:MONROEVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:15146-2369
Mailing Address - Country:US
Mailing Address - Phone:412-758-1819
Mailing Address - Fax:
Practice Address - Street 1:100 OXFORD DR APT 921
Practice Address - Street 2:
Practice Address - City:MONROEVILLE
Practice Address - State:PA
Practice Address - Zip Code:15146-2369
Practice Address - Country:US
Practice Address - Phone:412-758-1819
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-11-23
Last Update Date:2024-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171W00000XOther Service ProvidersContractor