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Individual

ANISE TATIANA WHEELER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
300 PASTEUR DR, STANFORD, CA 94305-2200
(650) 723-4000
Mailing address
300 PASTEUR DR, STANFORD, CA 94305-2200
(650) 723-4000

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
11081
CA
363LA2200X
Adult Health Nurse Practitioner
11081
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1720191885
NPI
CA
Enumeration date
08/15/2006
Last updated
12/31/2025
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