Provider Demographics
NPI:1891800967
Name:WHEELER, ARNETTER F (NPP)
Entity Type:Individual
Prefix:MRS
First Name:ARNETTER
Middle Name:F
Last Name:WHEELER
Suffix:
Gender:F
Credentials:NPP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1302 PLANTATION VILLAGE DR
Mailing Address - Street 2:
Mailing Address - City:CLEMMONS
Mailing Address - State:NC
Mailing Address - Zip Code:27012-7098
Mailing Address - Country:US
Mailing Address - Phone:631-220-6706
Mailing Address - Fax:
Practice Address - Street 1:1302 PLANTATION VILLAGE DR
Practice Address - Street 2:
Practice Address - City:CLEMMONS
Practice Address - State:NC
Practice Address - Zip Code:27012-7098
Practice Address - Country:US
Practice Address - Phone:631-220-6706
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-20
Last Update Date:2011-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF40086363LP0808X
NC230396363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY225942OtherVALURE OPTION
NY7331357OtherGHI
NC70004552Medicaid