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Individual

CAROLINE JENNIFER WHEELER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
BSN, RN

Contact information

Practice address
815 S PEARL ST, TACOMA, WA 98465-2117
(253) 396-5937
Mailing address
PO BOX 743, ROCKAWAY BEACH, OR 97136-0743

Taxonomy

Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
RN00135062
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
5419903483
WA
Enumeration date
04/26/2020
Last updated
04/26/2020
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