Provider Demographics
NPI:1528408937
Name:WHEELER, REGINA MARIA (APRN-CNS)
Entity Type:Individual
Prefix:MRS
First Name:REGINA
Middle Name:MARIA
Last Name:WHEELER
Suffix:
Gender:F
Credentials:APRN-CNS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8255 E INDUSTRIAL RD
Mailing Address - Street 2:
Mailing Address - City:GUTHRIE
Mailing Address - State:OK
Mailing Address - Zip Code:73044-6837
Mailing Address - Country:US
Mailing Address - Phone:405-315-4640
Mailing Address - Fax:
Practice Address - Street 1:2000 E 15TH ST
Practice Address - Street 2:SUITE 400
Practice Address - City:EDMOND
Practice Address - State:OK
Practice Address - Zip Code:73013-6697
Practice Address - Country:US
Practice Address - Phone:405-341-1697
Practice Address - Fax:405-341-2672
Is Sole Proprietor?:No
Enumeration Date:2013-06-29
Last Update Date:2013-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK89217364SA2100X, 364SP0809X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SP0809XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistPsychiatric/Mental Health, Adult
No364SA2100XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistAcute Care