Doctor Name: | MS. BETTY RUTH WHEELER |
NPI Number: | 1073819322 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | N.P. |
License Number: | 364689 |
Business Practice Address: | 5821 Jameson Ct Carmichael, CA - 956080890 |
Business Phone Number: | 9164880411 |
Business Fax Number: | 9164868112 |
Mailing Address: | 5821 Jameson Ct, CARMICHAEL |
State: | CA |
Postal Code: | 956080890 |
Phone Number: | 9164880411 |
Fax Number: | 9164868112 |
NPI Enumeration Date: | 02/03/2011 |
NPI Last Update Date: | 02/03/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LX0001X |
License Number: | 364689 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | CA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Obstetrics & Gynecology |
Taxonomy Definition: |