Provider Demographics
NPI:1922075894
Name:WHEELER, CARRIE LOUISE (GNP-C)
Entity Type:Individual
Prefix:MRS
First Name:CARRIE
Middle Name:LOUISE
Last Name:WHEELER
Suffix:
Gender:F
Credentials:GNP-C
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Mailing Address - Street 1:5601 LOCH RAVEN BLVD
Mailing Address - Street 2:SUITE 502
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21239-2945
Mailing Address - Country:US
Mailing Address - Phone:443-444-4720
Mailing Address - Fax:443-444-2110
Practice Address - Street 1:5601 LOCH RAVEN BLVD
Practice Address - Street 2:SUITE 502
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21239-2945
Practice Address - Country:US
Practice Address - Phone:443-444-4720
Practice Address - Fax:443-444-2110
Is Sole Proprietor?:No
Enumeration Date:2006-03-01
Last Update Date:2016-12-14
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MDR194787363LG0600X
NY340241363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology