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Individual

GRETCHEN WHEELOCK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ARNP

Contact information

Practice address
US HIGHWAY 77-75, WINNEBAGO, NE 68071
(402) 878-3582
Mailing address
3303 REBECCA ST, SIOUX CITY, IA 51104-2324
(712) 279-1759

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
111097
IA
363LG0600X
Gerontology Nurse Practitioner
111097
IA
363LP2300X
Primary Care Nurse Practitioner
Primary
111228
NE

Other

Enumeration date
01/07/2011
Last updated
07/11/2019
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