Provider Demographics
NPI:1265721419
Name:WHEELER, CYNTHIA (ACNP-BC)
Entity type:Individual
Prefix:
First Name:CYNTHIA
Middle Name:
Last Name:WHEELER
Suffix:
Gender:F
Credentials:ACNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2220 PIERCE AVE
Mailing Address - Street 2:PRB SUITE 597
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37232-0021
Mailing Address - Country:US
Mailing Address - Phone:615-322-2391
Mailing Address - Fax:615-343-4598
Practice Address - Street 1:2220 PIERCE AVE
Practice Address - Street 2:PRB SUITE 597
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37232-0021
Practice Address - Country:US
Practice Address - Phone:615-322-2391
Practice Address - Fax:615-343-4598
Is Sole Proprietor?:No
Enumeration Date:2011-03-28
Last Update Date:2022-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN15662363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care