Individual
NICOLE WHEELER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.M.
Contact information
Practice address
2019 GALISTEO ST, STE. L-1, SANTA FE, NM 87505-2143
(505) 988-9509
(505) 988-8082
Mailing address
2019 GALISTEO ST, STE. L-1, SANTA FE, NM 87505-2143
(505) 988-9509
(505) 988-8082
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
428
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NM00R73Z
BC/BS PROVIDER ID
NM
Enumeration date
10/03/2006
Last updated
07/08/2007
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