NPI 1295075869 · live from the CMS NPI Registry
Charles Mcewen Wheeler, MSN,RN,PNP-BC,CCRN
Nurse Practitioner, Pediatrics in Rutland, VT. National Provider Identifier 1295075869, active.
NPI record
| NPI | 1295075869 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Pediatrics 363LP0200X |
| Practice location | 1 General Wing Rd, Rutland, VT 05701 |
| Practice phone | 802-773-9131 |
| Mailing address | 215 Stratton Rd, Rutland, VT 05701 |
| Enumerated | February 19, 2013 |
| Last updated | August 31, 2015 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner, Pediatrics | 363LP0200X | RN240316 (MA) |
| Nurse Practitioner, Pediatrics primary | 363LP0200X | 101-0113805 (VT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.