Provider Demographics
NPI:1760974869
Name:WHEELER, DEBBIE D
Entity Type:Individual
Prefix:
First Name:DEBBIE
Middle Name:D
Last Name:WHEELER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:227 ROANOKE DR SE
Mailing Address - Street 2:
Mailing Address - City:LEESBURG
Mailing Address - State:VA
Mailing Address - Zip Code:20175-4007
Mailing Address - Country:US
Mailing Address - Phone:703-973-8745
Mailing Address - Fax:209-722-9088
Practice Address - Street 1:227 ROANOKE DR SE
Practice Address - Street 2:
Practice Address - City:LEESBURG
Practice Address - State:VA
Practice Address - Zip Code:20175-4007
Practice Address - Country:US
Practice Address - Phone:703-973-8745
Practice Address - Fax:209-722-9088
Is Sole Proprietor?:No
Enumeration Date:2018-06-04
Last Update Date:2018-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator