Individual
JULIETTE R WHEELER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
6701 N CHARLES ST, BALTIMORE, MD 21204-6808
(410) 296-4616
(410) 337-5068
Mailing address
PO BOX 64370, BALTIMORE, MD 21264-4370
(410) 296-4616
(410) 337-5068
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R077558
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
553391100
—
MD
01
—
R09153
MD LICENSE
MD
Enumeration date
09/29/2006
Last updated
08/13/2010
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