Individual provider · Type 1 NPI

Kelly Ann Wheeler, CRNP, AGPCNP-BC

Primary Care Nurse Practitioner · Lebanon, PA

NPI number 1629622204 Active

Practice location

252 S 4th St
Lebanon, PA 17042-6111

Fax (717) 851-2602

Mailing address

3421 Concord Rd
York, PA 17402-9001

Specialties and licenses

TaxonomyCodeLicense
Primary Care Nurse Practitioner Primary 363LP2300XSP020438 (PA)

Primary Care Nurse Practitioner: Definition to come...

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About NPI 1629622204

Kelly Ann Wheeler, CRNP, AGPCNP-BC's National Provider Identifier is 1629622204, issued on Jul 31, 2019. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Lebanon, PA. The record was last updated on Jun 19, 2020.