Individual
DARLENE WHEELER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
614 LYNN ST APT 217, DANVILLE, VA 24541-1500
(914) 565-0363
(434) 857-5579
Mailing address
614 LYNN ST APT 217, DANVILLE, VA 24541-1500
(914) 565-0363
(434) 857-5579
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
908745
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
83-1946980
—
VA
Enumeration date
09/20/2018
Last updated
03/22/2019
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