Healthcare Provider Details

I. General information

NPI: 1033426499
Provider Name (Legal Business Name): EMILY DIANNE WHEELER APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/08/2010
Last Update Date: 08/20/2026
Certification Date: 08/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

804 22ND AVE
KEARNEY NE
68845-2206
US

IV. Provider business mailing address

816 22ND AVE STE 100
KEARNEY NE
68845-2226
US

V. Phone/Fax

Practice location:
  • Phone: 308-455-3600
  • Fax: 308-455-3950
Mailing address:
  • Phone: 308-865-2263
  • Fax: 308-865-2541

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License Number111175
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: