Individual
MICHAELA KRISTINE WHEATLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
801 5TH ST, SIOUX CITY, IA 51101
(712) 279-2066
Mailing address
801 5TH ST, SIOUX CITY, IA 51101
(712) 279-2066
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
A126220
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0412233
—
IA
Enumeration date
07/17/2018
Last updated
04/14/2021
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