MEDICARE: BETHANY LYNNE 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
1	363LF0000X	Family Nurse Practitioner	A180548	IA

General Provider Information

NPI Number	:	1962230797
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BETHANY LYNNE WHEELER

Provider Business Mailing Address
First Line	:	227 N DUBUQUE ST
Second Line	:
City	:	IOWA CITY
State	:	IA
Zip	:	52245-1714
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	227 N DUBUQUE ST
Second Line	:
City	:	IOWA CITY
State	:	IA
Zip	:	52245-1714
Country	:	US
Telephone Number	:	319-337-2111
Fax Number	:

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

Provider Enumeration Date	:	07/23/2024
Last Update Date	:	07/23/2024

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Directions to “ BETHANY LYNNE WHEELER ” Practice Location

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