Provider Demographics
NPI:1275758799
Name:WHEELER, BARBARA ANN (FNP)
Entity Type:Individual
Prefix:
First Name:BARBARA
Middle Name:ANN
Last Name:WHEELER
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:210 E MERCED
Mailing Address - Street 2:
Mailing Address - City:FOWLER
Mailing Address - State:CA
Mailing Address - Zip Code:93625
Mailing Address - Country:US
Mailing Address - Phone:559-834-5341
Mailing Address - Fax:559-834-1234
Practice Address - Street 1:210 E MERCED
Practice Address - Street 2:FOWLER MEDICAL CENTER INC
Practice Address - City:FOWLER
Practice Address - State:CA
Practice Address - Zip Code:93625-2313
Practice Address - Country:US
Practice Address - Phone:559-834-5341
Practice Address - Fax:559-834-1234
Is Sole Proprietor?:No
Enumeration Date:2007-04-17
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1359363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
CABCP03951GOtherFOWLER MEDICAL CENTER INC
CARHM03951GMedicaid
CAHAP03951GOtherFOWLER MEDICAL CENTER INC
CA053951Medicare ID - Type UnspecifiedFOWLER MEDICAL CENTER INC