MRS. SOFIA CATHERINE WHEELER PMHNP-BC CRNP-PMH NPI 1780180851

NPI Information

NPI: 1780180851
Provider Name: MRS. SOFIA CATHERINE WHEELER, PMHNP-BC, CRNP-PMH
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

PECOS Registration: Yes

Address:
2222 E STATE ST STE 209
ROCKFORD, IL
ZIP 61104
Phone: (815) 988-8500
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MRS. Sofia Catherine Wheeler, PMHNP-BC, CRNP-PMH is a psychiatric/mental health nurse practitioner in Rockford, IL. MRS. Sofia Catherine Wheeler, PMHNP-BC, CRNP-PMH NPI is 1780180851. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2222 E STATE ST STE 209
ROCKFORD, IL
ZIP 61104
Phone: (815) 988-8500
Fax: (815) 977-5956

The NPI 1780180851 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 4/5/2018 and was last updated on 3/21/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	R231337	MARYLAND	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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