Individual
LISA WHEELER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1201 BROAD ROCK BLVD, RICHMOND, VA 23249-5051
(804) 675-5000
Mailing address
7515 HOOFPRINT LN, MECHANICSVILLE, VA 23111-6432
(804) 241-3452
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
0024171519
VA
363LA2100X
Acute Care Nurse Practitioner
Primary
0024171519
VA
Other
Enumeration date
06/02/2014
Last updated
02/27/2025
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