Provider Demographics
NPI:1700140084
Name:WHEELOCK, HEATHER SACHA (CNM, WHNP)
Entity Type:Individual
Prefix:MRS
First Name:HEATHER
Middle Name:SACHA
Last Name:WHEELOCK
Suffix:
Gender:F
Credentials:CNM, WHNP
Other - Prefix:MISS
Other - First Name:HEATHER
Other - Middle Name:KRISTINE
Other - Last Name:PALMER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CNM, WHNP
Mailing Address - Street 1:4320 DIPLOMACY DR
Mailing Address - Street 2:SUITE 2191
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99508-5925
Mailing Address - Country:US
Mailing Address - Phone:907-729-5726
Mailing Address - Fax:907-729-4389
Practice Address - Street 1:4320 DIPLOMACY DR
Practice Address - Street 2:SUITE 2191
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99508-5925
Practice Address - Country:US
Practice Address - Phone:907-729-5726
Practice Address - Fax:907-729-4389
Is Sole Proprietor?:Yes
Enumeration Date:2012-07-01
Last Update Date:2017-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK1310367A00000X
AK34597163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife
No163W00000XNursing Service ProvidersRegistered Nurse