Individual
MR. JON BRIAN WHEILER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ACNP
Contact information
Practice address
1216 LAVON CIR, SALT LAKE CITY, UT 84106-2505
(801) 466-0417
Mailing address
1451 ZENITH AVE, SALT LAKE CITY, UT 84106-3424
(801) 706-8799
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
4906599-4405
UT
Other
Enumeration date
06/28/2006
Last updated
09/05/2007
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