MRS. LUELLA CORINE WHEELER-IKUESAN NP-C NPI 1881611663

NPI Information

MRS. Luella Corine Wheeler-ikuesan, NP-C is a family nurse practitioner in Tucker, GA. MRS. Luella Corine Wheeler-ikuesan, NP-C NPI is 1881611663. 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:

1990 LAKESIDE PKWY
SUITE 170
TUCKER, GA
ZIP 30084-884
Phone: (770) 938-1757
Fax: (770) 938-1759

The NPI 1881611663 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 7/16/2006 and was last updated on 9/26/2011.

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:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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