Individual
AISHA LYNN WHEELER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1331 G ST, LEWISTON, ID 83501-1964
(208) 743-9616
Mailing address
832 11TH ST, CLARKSTON, WA 99403-2149
(509) 254-4289
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
62125
ID
163WG0000X
General Practice Registered Nurse
RN60956418
WA
363LF0000X
Family Nurse Practitioner
Primary
62125
ID
Other
Enumeration date
04/19/2023
Last updated
05/01/2023
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