Female

Mrs. Tiara B. Wiley-king

Nurse Practitioner in Charlotte, NC(View on Map)

Full Name

Mrs. Tiara Bianca Wiley-king

NPI Number

1780247932

NPI Type

Individual Provider

Gender

Female

Enumeration Date

04/15/2019

Specialties

(Taxonomies)

Code

363L00000X
363LG0600X

Primary Taxonomy

Yes
No

Licenses

State

North Carolina

License Number

5011683

Contact
Information

Purpose

Mailing
Location

Address

6047 TYVOLA GLEN CIR STE 100
6047 TYVOLA GLEN CIR STE 100

City

Charlotte
Charlotte

State

NC
NC

Postal Code

28217-6431
28217-6431

Country

US
US

Telephone Number

(443) 383-9300
(443) 383-9300

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 11/04/2022

Provider Address

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