Individual
GWENDOLYN E WHEELER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
2004 J MARVIN MAGEE DR, FRANKLINTON, LA 70438
(985) 839-3555
(985) 839-6320
Mailing address
1900 MAIN STREET, FRANKLINTON, LA 70438
(985) 839-4431
(985) 795-0876
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN056993
LA
363L00000X
Nurse Practitioner
Primary
AP03660
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1103489
—
LA
Enumeration date
12/27/2005
Last updated
08/02/2010
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