Provider Demographics
NPI:1992144851
Name:WHEELER, GLENDA M (APRN)
Entity type:Individual
Prefix:
First Name:GLENDA
Middle Name:M
Last Name:WHEELER
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:GLENDA
Other - Middle Name:M
Other - Last Name:ROWE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:APRN
Mailing Address - Street 1:1505 W 12TH ST
Mailing Address - Street 2:
Mailing Address - City:HAYS
Mailing Address - State:KS
Mailing Address - Zip Code:67601-9305
Mailing Address - Country:US
Mailing Address - Phone:785-635-0249
Mailing Address - Fax:
Practice Address - Street 1:501 GARFIELD ST
Practice Address - Street 2:
Practice Address - City:QUINTER
Practice Address - State:KS
Practice Address - Zip Code:67752-9795
Practice Address - Country:US
Practice Address - Phone:785-754-3333
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-06-24
Last Update Date:2016-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS75995363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily