Luella Corine Wheeler-Ikuesan in Tucker - Family
Luella Corine Wheeler-Ikuesan - NPI 1881611663
Luella Corine Wheeler-Ikuesan is a Family in Tucker, Georgia. Luella Corine Wheeler-Ikuesan practices all healthcare services and medical treatments related to Family. The NPI Number for Luella Corine Wheeler-Ikuesan is 1881611663. The last update date is 2011-09-26.
Luella Corine Wheeler-Ikuesan's current location address is 1990 Lakeside Pkwy, Tucker, Georgia. You can contact this provider via phone number 7709381757 and fax number 7709381759. The mailing address for Luella Corine Wheeler-Ikuesan is 1990 Lakeside Pkwy, Tucker, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Luella Corine Wheeler-Ikuesan |
|---|---|
| Address | 1990 Lakeside Pkwy, Tucker, Georgia |
| Phone Number | 7709381757 |
| Fax Number | 7709381759 |
| Sole Proprietor | Y |
| Credentials | NP-C |
NPI Number Detail
| NPI Number | 1881611663 |
|---|---|
| Provider Enumeration Date | 2006-07-16 |
| Last Updated Date | 2011-09-26 |
Provider Mailing Address Detail
| Address | 1990 Lakeside Pkwy |
|---|---|
| City | Tucker |
| State | Georgia (GA) |
| Post Code | 300845884 |
| Phone Number | 7709381757 |
| Fax Number | 7709381759 |
Provider's Primary Taxonomy Detail
| Speciality | Family |
|---|---|
| Taxonomy | 363Lf0000X |
| Licence No | RN066854 |
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Definition: An advanced practice registered nurse expert in primary healthcare for patients of all ages. |
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What is the Luella Corine Wheeler-Ikuesan's unique identification number?
The Luella Corine Wheeler-Ikuesan has been assigned the NPI (National Provider Identifier) Number 1881611663 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete street address where Luella Corine Wheeler-Ikuesan is physically located?
The Luella Corine Wheeler-Ikuesan is physically situated at the following address: 1990 Lakeside Pkwy, Tucker, GA, 300845884.
What is the Luella Corine Wheeler-Ikuesan's area of specialization and corresponding taxonomy classification?
The Luella Corine Wheeler-Ikuesan's specialty field is Family, and it falls under the taxonomy code 363Lf0000X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services assign the 1881611663 to Luella Corine Wheeler-Ikuesan?
The Centers for Medicare & Medicaid Services assigned the 1881611663 to Luella Corine Wheeler-Ikuesan on 2006-07-16.
When was the Luella Corine Wheeler-Ikuesan's information last updated?
The Luella Corine Wheeler-Ikuesan's information was last updated on 2011-09-26.