Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363LA2200X | Nurse Practitioner - Adult Health | 364689 | CA |
Y | 363LA2200X | Nurse Practitioner - Adult Health | 7334 | CA |
N | 363LW0102X | Nurse Practitioner - Women's Health | 364689 | CA |
N | 363LX0001X | Nurse Practitioner - Obstetrics & Gynecology | 364689 | CA |
NPI | 1073819322 |
---|---|
Provider Name | Ms. Betty Ruth Wheeler |
First Address | Carmichael, CA 95608-0890 |
Second Address | Carmichael, CA 95608 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/02/2011 |
Last Update Date | 14/05/2018 |