Individual
ANISSA WHEELER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, APRN, FNP-BC
Contact information
Practice address
1254 MAIN ST, IMPERIAL, MO 63052-3861
(636) 741-3130
Mailing address
PO BOX 776084, CHICAGO, IL 60677-6084
(636) 741-3130
(636) 741-3131
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2020021027
MO
Other
Enumeration date
10/07/2020
Last updated
09/11/2024
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