Codie Wiley

Physician Assistant · Fort Eustis, VA

Individual Active NPI

NPI number 1366941684

Practice location

576 Jefferson Ave Bldg 576
Fort Eustis, VA 23604-1373
Phone
(757) 314-7500

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NPI record

NPI
1366941684
Entity type
Individual (Type 1)
Enumeration date
February 2, 2018
Last updated
January 5, 2024
Certified
January 5, 2024
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Physician Assistant Primary 363A00000X — —

About Codie Wiley

Codie Wiley is a healthcare provider registered in the NPI registry with the primary taxonomy Physician Assistant (code 363A00000X). The practice location is 576 Jefferson Ave Bldg 576, Fort Eustis, VA 23604-1373. The NPI number 1366941684 was assigned on February 2, 2018 and the record was last updated on January 5, 2024.

Frequently asked questions

What is the NPI number of Codie Wiley?

The NPI number is 1366941684.

What is the phone number of Codie Wiley?

The phone number listed for the practice location is (757) 314-7500.

Where is Codie Wiley located?

576 Jefferson Ave Bldg 576, Fort Eustis, VA 23604-1373.

What is the taxonomy code for Codie Wiley?

The primary taxonomy code is 363A00000X – Physician Assistant.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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