Individual
MR. CHARLES MCEWEN WHEELER III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSN,RN,PNP-BC,CCRN
Contact information
Practice address
1 GENERAL WING RD, RUTLAND, VT 05701-4681
(802) 773-9131
(802) 773-1551
Mailing address
215 STRATTON RD, RUTLAND, VT 05701-4621
(802) 855-2027
(802) 855-2053
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
101-0113805
VT
363LP0200X
Pediatric Nurse Practitioner
RN240316
MA
Other
Enumeration date
02/19/2013
Last updated
08/31/2015
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