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Individual
MARY ELIZABETH GERALDINE WHEELDON
Active
Individual
MARY ELIZABETH GERALDINE WHEELDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Taxonomy
Speciality
Code
Description
License number
State
163WG0600X
Gerontology Registered Nurse
69352
CO
363L00000X
Nurse Practitioner
Primary
4704261842
MI
363LA2200X
Adult Health Nurse Practitioner
47024261842
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1275660466
—
MI
Enumeration date
02/27/2007
Last updated
02/16/2016
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