Provider Demographics
NPI:1083690531
Name:WHEELER, TRINA CHERIEE' (HS)
Entity Type:Individual
Prefix:MISS
First Name:TRINA
Middle Name:CHERIEE'
Last Name:WHEELER
Suffix:
Gender:F
Credentials:HS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:COMDT (CG-1122), U.S.COAST GUARD, 2100 2ND ST SW
Mailing Address - Street 2:SUITE 5314
Mailing Address - City:WASHINTON
Mailing Address - State:DC
Mailing Address - Zip Code:20593
Mailing Address - Country:US
Mailing Address - Phone:907-463-2140
Mailing Address - Fax:907-463-2150
Practice Address - Street 1:COMDT (CG-1122), U.S.COAST GUARD,
Practice Address - Street 2:2100 2ND ST SW, SUITE 5314
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20593-0001
Practice Address - Country:US
Practice Address - Phone:907-463-2140
Practice Address - Fax:907-463-2150
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-12-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171000000XOther Service ProvidersMilitary Health Care Provider