MEDICARE: ANJA WHEELER MSN/FNP-BC

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
1	363LF0000X	Family Nurse Practitioner	71017319A	IN

General Provider Information

NPI Number	:	1528936283
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANJA WHEELER MSN/FNP-BC

Provider Business Mailing Address
First Line	:	1313 W MCGALLIARD RD
Second Line	:
City	:	MUNCIE
State	:	IN
Zip	:	47303-1774
Country	:	US
Telephone Number	:	765-216-3115
Fax Number	:

Provider Business Practice Location Address
First Line	:	1313 W MCGALLIARD RD
Second Line	:
City	:	MUNCIE
State	:	IN
Zip	:	47303-1774
Country	:	US
Telephone Number	:	765-216-3115
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/24/2025
Last Update Date	:	12/11/2025

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