Individual
RICHARD E WHEELER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
300 W 27TH ST, LUMBERTON, NC 28358-3075
(910) 671-5000
Mailing address
300 W 27TH ST, ATTN: WILLIAM J GUTEKUNST, LUMBERTON, NC 28358-3075
(910) 671-5000
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
1019
SC
367500000X
Certified Registered Nurse Anesthetist
138634
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8051409
—
NC
05
—
AN0678
—
SC
Enumeration date
07/12/2005
Last updated
12/21/2010
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