Healthcare Provider Details

I. General information

NPI: 1366144404
Provider Name (Legal Business Name): EMILY ROSE WHEELER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/21/2023
Last Update Date: 06/16/2023
Certification Date: 06/16/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

81 BROADWAY ST STE 201
ASHEVILLE NC
28801-7900
US

IV. Provider business mailing address

81 BROADWAY ST STE 201
ASHEVILLE NC
28801-7900
US

V. Phone/Fax

Practice location:
  • Phone: 828-243-0302
  • Fax:
Mailing address:
  • Phone: 828-243-0302
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code133VN1005X
TaxonomyRenal Nutrition Registered Dietitian
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License NumberL006610
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: