Individual
JULIE M WHEATON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
400 NE MOTHER JOSEPH PL, VANCOUVER, WA 98664-3200
(360) 514-2000
Mailing address
5719 NE 75TH ST, VANCOUVER, WA 98661-1051
(360) 241-6103
Taxonomy
Speciality
Code
Description
License number
State
163WW0000X
Wound Care Registered Nurse
RN60277574
WA
363L00000X
Nurse Practitioner
Primary
AP60898509
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AG09180197
AMERICAN ACADEMY OF NURSE PRACTITIONERS
—
01
—
AG60898509
WASHINGTON DEPARTMENT OF HEALTH - STATE BOARD OF NURSING
WA
01
—
RN60277574
WA DEPARTMENT OF HEALTH - STATE BOARD OF NURSING
WA
Enumeration date
09/10/2018
Last updated
10/09/2024
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