Individual
MS. MISTY D WHEELOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
10050 KENNERLY RD STE 2400, SAINT LOUIS, MO 63128-2193
(314) 849-6066
Mailing address
10050 KENNERLY RD STE 2400, SAINT LOUIS, MO 63128-2193
(314) 849-6066
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
142467
MO
Other
Enumeration date
10/02/2007
Last updated
06/24/2024
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