Individual
MRS. AUDRA WHEELER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, APRN, FNP-BC
Contact information
Practice address
15 N 3RD ST STE 300, NEWARK, OH 43055-5550
(740) 349-7511
(740) 414-4050
Mailing address
59 GRANT ST, NEWARK, OH 43055-3939
(740) 349-7511
(740) 414-4050
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
363492
OH
363LF0000X
Family Nurse Practitioner
Primary
022633
OH
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
022633
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2892946
NYAP
OH
Enumeration date
03/28/2016
Last updated
01/26/2023
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