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NPI Code Detail

MEDICARE: BRYAN ALEXANDER WHEELER RN

MEDICARE: BRYAN ALEXANDER WHEELER RN
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
1163W00000XRegistered Nurse825278CA

General Provider Information

NPI Number : 1689500696
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRYAN ALEXANDER WHEELER RN
Provider Business Mailing Address
First Line : 1517 S OREGON ST
Second Line :
City : YREKA
State : CA
Zip : 96097-3425
Country : US
Telephone Number : 530-842-9200
Fax Number : 530-572-4661
Provider Business Practice Location Address
First Line : 1519 S OREGON ST
Second Line :
City : YREKA
State : CA
Zip : 96097-3425
Country : US
Telephone Number : 530-842-9200
Fax Number : 530-572-4661
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/18/2026
Last Update Date : 06/18/2026

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