Provider Demographics
NPI:1699145896
Name:WHEELER, CALANDRA RENEE (MSN, APRN, AGNP-C)
Entity type:Individual
Prefix:
First Name:CALANDRA
Middle Name:RENEE
Last Name:WHEELER
Suffix:
Gender:
Credentials:MSN, APRN, AGNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1101 YORKSHIRE DR
Mailing Address - Street 2:
Mailing Address - City:GLENN HEIGHTS
Mailing Address - State:TX
Mailing Address - Zip Code:75154-8709
Mailing Address - Country:US
Mailing Address - Phone:601-497-7389
Mailing Address - Fax:
Practice Address - Street 1:1117 WYNNEWOOD DR
Practice Address - Street 2:
Practice Address - City:GLENN HEIGHTS
Practice Address - State:TX
Practice Address - Zip Code:75154-8775
Practice Address - Country:US
Practice Address - Phone:601-497-7389
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-09-30
Last Update Date:2025-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes372500000XNursing Service Related ProvidersChore Provider