Healthcare Provider Details

I. General information

NPI: 1245650134
Provider Name (Legal Business Name): KIMBERLY ANN WHEELER NP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: KIMBERLY ANN BRUNS NP

II. Dates (important events)

Enumeration Date: 04/18/2014
Last Update Date: 07/01/2025
Certification Date: 07/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1531 ESPLANADE RM 1044
CHICO CA
95926-3310
US

IV. Provider business mailing address

3175 SAWYERS BAR LN
CHICO CA
95973-8297
US

V. Phone/Fax

Practice location:
  • Phone: 530-332-6870
  • Fax:
Mailing address:
  • Phone: 701-306-7811
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License Number23165
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number23165
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: