Individual
MRS. LYDIA MAXINE WHEELER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
8725 JOHN J KINGMAN RD, FORT BELVOIR, VA 22060-6217
(703) 863-0632
Mailing address
1001 SAM PERRY BLVD, FREDERICKSBURG, VA 22401-4453
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
0024178325
VA
Other
Enumeration date
10/09/2019
Last updated
09/04/2024
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