| Doctor Name: | MS. DIANE E WHEELER |
| NPI Number: | 1003045543 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MS, PA-C |
| License Number: | 60606597 |
| Business Practice Address: | 325 9th Ave Seattle, WA - 981042420 |
| Business Phone Number: | 2067443000 |
| Business Fax Number: | |
| Mailing Address: | 325 9th Ave, SEATTLE |
| State: | WA |
| Postal Code: | 981042420 |
| Phone Number: | 2067443000 |
| Fax Number: | |
| NPI Enumeration Date: | 07/06/2009 |
| NPI Last Update Date: | 04/27/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | 60606597 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |