Provider Demographics
NPI:1801382569
Name:WHEELER, KARI WHITAKER (BSN, RN, IBCLC)
Entity Type:Individual
Prefix:
First Name:KARI
Middle Name:WHITAKER
Last Name:WHEELER
Suffix:
Gender:F
Credentials:BSN, RN, IBCLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1915 LAKESPUR LN
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:CO
Mailing Address - Zip Code:80027-2456
Mailing Address - Country:US
Mailing Address - Phone:303-880-4534
Mailing Address - Fax:
Practice Address - Street 1:1915 LAKESPUR LN
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:CO
Practice Address - Zip Code:80027-2456
Practice Address - Country:US
Practice Address - Phone:303-880-4534
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-07-05
Last Update Date:2018-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CORN.0150155163W00000X
COL-109097163WL0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WL0100XNursing Service ProvidersRegistered NurseLactation Consultant
No163W00000XNursing Service ProvidersRegistered Nurse