Provider Demographics
NPI:1699145896
Name:WHEELER, CALANDRA RENEE (MSN, APRN, AGNP-C)
Entity type:Individual
Prefix:
First Name:CALANDRA
Middle Name:RENEE
Last Name:WHEELER
Suffix:
Gender:F
Credentials:MSN, APRN, AGNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1540 W INTERSTATE 20
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76017-5838
Mailing Address - Country:US
Mailing Address - Phone:817-472-6555
Mailing Address - Fax:
Practice Address - Street 1:1540 W INTERSTATE 20
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76017-5838
Practice Address - Country:US
Practice Address - Phone:817-472-6555
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-09-30
Last Update Date:2025-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1194330363LP2300X, 363LG0600X
372500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology
No363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care
No372500000XNursing Service Related ProvidersChore Provider