Individual
ANGELA WHEELER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
EMILE 42ND ST, OMAHA, NE 68198-1080
(402) 559-8000
(402) 559-8746
Mailing address
988102 NEBRASKA MEDICAL CTR, OMAHA, NE 68198-8102
(402) 559-8000
(402) 559-8746
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1779
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1779
NE STATE LICENSE
NE
Enumeration date
02/10/2014
Last updated
02/10/2014
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