MEDICARE: AIMEE WHEELER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363AM0700X	Medical Physician Assistant

General Provider Information

NPI Number	:	1124846001
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AIMEE WHEELER

Provider Business Mailing Address
First Line	:	4517 E 16TH ST
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85711-4229
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4517 E 16TH ST
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85711-4229
Country	:	US
Telephone Number	:	520-488-5136
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/30/2024
Last Update Date	:	09/30/2024

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Directions to “ AIMEE WHEELER ” Practice Location

Language	Start Address	Practice Location

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