Individual
DR. TIA WHEATLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, RN, AGACNP-BC
Contact information
Practice address
757 WESTWOOD PLZ, LOS ANGELES, CA 90095-8358
(310) 267-7629
Mailing address
5767 W CENTURY BLVD STE 400, LOS ANGELES, CA 90045-5631
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
95027696
CA
Other
Enumeration date
05/18/2021
Last updated
10/01/2025
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