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General NPI Number Information
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NPI Number | 1538714647
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Entity Type | Individual
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Provider Name | IKE WHEELER MSN, APRN-CNP, PMHNP
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Gender | Male
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Dates
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Enumeration Date | 08/06/2019
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Last Update Date | 02/28/2025
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Provider Practice Location Address
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Address Line | 955 LAWRENCE WAY SUITE #150
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City | DENVER
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State | CO
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Zip | 80204-0000
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Country | US
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Telephone | 303-615-9999
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Fax | 303-942-7262
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Provider Business Mailing Address
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Address Line | 955 LAWRENCE WAY SUITE #150
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City | DENVER
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State | CO
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Zip | 80204-0000
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Country | US
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Telephone | 303-615-9999
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Fax | 303-942-7262
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | APRN.CNP.025230
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License Number State | OH
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