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
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Nurse Practitioner Primary | 363LP2300X | SP020438 (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.