Individual
ANDREA WHEELER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
645 E 5TH ST, WEISER, ID 83672-2202
(208) 549-4424
Mailing address
645 E 5TH ST, WEISER, ID 83672-2202
(208) 549-4424
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
60008
ID
Other
Enumeration date
12/06/2018
Last updated
12/06/2018
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