Provider Demographics
NPI:1205490612
Name:WHEELER, ELIZABETH HANNAH (RN)
Entity type:Individual
Prefix:MISS
First Name:ELIZABETH
Middle Name:HANNAH
Last Name:WHEELER
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:ELIZABETH
Other - Middle Name:HANNAH
Other - Last Name:PEEK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:1660 S. COLUMBIAN WAY (VA PUGET SOUND HEALTH CARE SYSTE
Mailing Address - Street 2:BUILDING 1, 3RD FLOOR
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98108
Mailing Address - Country:US
Mailing Address - Phone:206-762-1010
Mailing Address - Fax:
Practice Address - Street 1:1660 S. COLUMBIAN WAY (VA PUGET SOUND HEALTH CARE SYSTE
Practice Address - Street 2:BUILDING 1, 3RD FLOOR
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98108
Practice Address - Country:US
Practice Address - Phone:206-716-5840
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-05-01
Last Update Date:2025-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN28241303A163W00000X
WARN60956942163WC0200X, 163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
No163WC0200XNursing Service ProvidersRegistered NurseCritical Care Medicine