Individual
LAURA NICHOLE WHEELER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
489 LAWNDALE AVE, KING OF PRUSSIA, PA 19406-3610
(573) 569-2025
Mailing address
489 LAWNDALE AVE, KING OF PRUSSIA, PA 19406-3610
(573) 569-2025
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
SP019816
PA
Other
Enumeration date
12/19/2018
Last updated
12/19/2018
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