Healthcare Provider Details

I. General information

NPI: 1699145896
Provider Name (Legal Business Name): CALANDRA RENEE WHEELER MSN, APRN, AGNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/30/2015
Last Update Date: 05/19/2025
Certification Date: 05/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1540 W INTERSTATE 20
ARLINGTON TX
76017-5838
US

IV. Provider business mailing address

1540 W INTERSTATE 20
ARLINGTON TX
76017-5838
US

V. Phone/Fax

Practice location:
  • Phone: 817-472-6555
  • Fax:
Mailing address:
  • Phone: 817-472-6555
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License Number1194330
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code372500000X
TaxonomyChore Provider
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code363LG0600X
TaxonomyGerontology Nurse Practitioner
License Number1194330
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: