# WHEELER MEDICAL

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1699152348
- **Authorized official:** MRS. ALYSIA G WHEELER APRN (OWNER)
- **Authorized official phone:** (270) 659-0717

## Contact information

- **Practice address:** 742 E MAIN ST STE B, GLASGOW, KY 42141
- **Practice address phone:** (270) 659-0717
- **Practice address fax:** (270) 659-2660
- **Mailing address:** 742 E MAIN ST STE B, GLASGOW, KY 42141
- **Mailing address phone:** (270) 659-0717
- **Mailing address fax:** (270) 659-2660

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | 3007578 | KY | Yes |

## Other

- **Enumeration date:** 05/01/2015
- **Last updated:** 05/01/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 000000925692 | ANTHEM | KY |