Individual
LYNN WHEELER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
1021 N MULFORD RD, ROCKFORD, IL 61107-3877
(815) 391-1000
(815) 391-5041
Mailing address
1021 N MULFORD RD, ROCKFORD, IL 61107-3877
(815) 391-1000
(815) 391-5041
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
209.008380
IL
Other
Enumeration date
12/22/2010
Last updated
07/03/2014
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