Search › California › 363LF0000X
Glen Wiley, APRN, FNP-C
NPI 1154905982 · on the registry since 2021 · sole proprietor
Practice
- Address
- 11555 Potrero Rd
Banning, CA 92220 - Phone
- (251) 849-4761
- Organisation at this address
- Riverside-San Bernardino County Indian Health, Inc.
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 363LF0000X
363LF0000X
- Also registered as
- 363LF0000X
363LF0000X - Licence states on file
- TX, MO, CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2026-07-14
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California