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NPI Code Detail

MEDICARE: JULIA WHEELER

MEDICARE: JULIA WHEELER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363A00000XPhysician AssistantPA

General Provider Information

NPI Number : 1306777040
Entity Type Code : Individual
Provider Name (Legal Business Name) : JULIA WHEELER
Provider Business Mailing Address
First Line : 220 W PRAIRIE ST
Second Line :
City : HARRISVILLE
State : PA
Zip : 16038-1720
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2 W CRESCENT PARK
Second Line :
City : WARREN
State : PA
Zip : 16365-2199
Country : US
Telephone Number : 814-723-4973
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/28/2026
Last Update Date : 06/11/2026

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