IndividualActive
Sandra Wiley, BSN, CCP, LP
NPI 1730495524 · Perfusionist · Shavano Park, TX
Provider details
- NPI number
- 1730495524
- Entity type
- Individual
- Primary specialty
- PerfusionistTechnologists, Technicians & Other Technical Service Providers
- Credential
- BSN, CCP, LP
- Sex
- Female
- Sole proprietor
- Yes
- License
- TX224548 (TX)
Specialties & taxonomies
Technologists, Technicians & Other Technical Service Providers
Nursing Service Providers
Practice location
102 Ottawa Run
Shavano Park, TX 78231-1455
Phone: (210) 493-7379
Fax: (210) 493-9567
Approximate (ZIP-level) locationGet directions
Mailing address
102 Ottawa Run
Shavano Park, TX 78231-1455
Registry dates
- Enumerated
- 2010-08-31
- Last updated
- 2010-08-31
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.