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General NPI Number Information
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NPI Number | 1285208702
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Entity Type | Individual
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Provider Name | YANAN WHEELER APRN
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Gender | Female
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Dates
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Enumeration Date | 05/19/2021
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Last Update Date | 12/03/2023
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Provider Practice Location Address
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Address Line | 13770 PLANTATION RD STE 4
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City | FORT MYERS
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State | FL
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Zip | 33912-4460
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Country | US
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Telephone | 239-561-6263
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Fax |
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Provider Business Mailing Address
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Address Line | 2208 NW 16TH PL
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City | CAPE CORAL
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State | FL
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Zip | 33993-2937
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Country | US
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Telephone | 317-437-1552
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | APRN11010404
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License Number State | FL
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