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NPI Code Detail

MEDICARE: BRITTNEY NICHOLE WHEELER

MEDICARE:   BRITTNEY NICHOLE 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
1235Z00000XSpeech-Language PathologistSP2707AR

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1SP#P8124OTHERARSTATE LICENSE

General Provider Information

NPI Number : 1821244484
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRITTNEY NICHOLE WHEELER
Provider Business Mailing Address
First Line : 17589 CLEAR WATER RD
Second Line :
City : FAYETTEVILLE
State : AR
Zip : 72704-5898
Country : US
Telephone Number : 479-530-7438
Fax Number :
Provider Business Practice Location Address
First Line : 3612 W SOUTHERN HILLS BLVD STE 6
Second Line :
City : ROGERS
State : AR
Zip : 72758-8231
Country : US
Telephone Number : 479-530-7438
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/14/2008
Last Update Date : 08/24/2021

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Directions to “ BRITTNEY NICHOLE WHEELER ” Practice Location

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