Provider Demographics
NPI:1992972913
Name:WHEELER, CINDY KAY (RN/RCS)
Entity type:Individual
Prefix:MRS
First Name:CINDY
Middle Name:KAY
Last Name:WHEELER
Suffix:
Gender:F
Credentials:RN/RCS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11915 TORMEY RD
Mailing Address - Street 2:
Mailing Address - City:STITZER
Mailing Address - State:WI
Mailing Address - Zip Code:53825-9752
Mailing Address - Country:US
Mailing Address - Phone:608-943-8416
Mailing Address - Fax:
Practice Address - Street 1:11915 TORMEY RD
Practice Address - Street 2:
Practice Address - City:STITZER
Practice Address - State:WI
Practice Address - Zip Code:53825-9752
Practice Address - Country:US
Practice Address - Phone:608-943-8416
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-08
Last Update Date:2008-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI91471163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse