Organization
WHEELER MEDICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ALYSIA G WHEELER APRN (OWNER)
(270) 659-0717
Entity
Organization
Contact information
Practice address
742 E MAIN ST STE B, GLASGOW, KY 42141
(270) 659-0717
(270) 659-2660
Mailing address
742 E MAIN ST STE B, GLASGOW, KY 42141
(270) 659-0717
(270) 659-2660
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
3007578
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000925692
ANTHEM
KY
Enumeration date
05/01/2015
Last updated
05/01/2015
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