IndividualActive
Marilyn Wiley, RN
NPI 1295812097 · Gerontology Clinical Nurse Specialist · Indianapolis, IN
Provider details
- NPI number
- 1295812097
- Entity type
- Individual
- Primary specialty
- Gerontology Clinical Nurse SpecialistPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- RN
- Sex
- Female
- Sole proprietor
- Yes
- License
- 28105458A (IN)
Mailing address
1650 W 76th Pl
Indianapolis, IN 46260-3212
Registry dates
- Enumerated
- 2006-11-01
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.