Individual
ALISON NAOMI WHEATLEY
Active
Individual
ALISON NAOMI WHEATLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
5753
AZ
363AM0700X
Medical Physician Assistant
Primary
PA-1365
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5753
5753
AZ
01
—
PA-1365
STATE LICENSE
ID
Enumeration date
10/10/2014
Last updated
07/21/2016
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