Provider Demographics
NPI:1164252748
Name:WHEELER, KRISTEN CHUTE (APRN, PMHNP)
Entity type:Individual
Prefix:
First Name:KRISTEN
Middle Name:CHUTE
Last Name:WHEELER
Suffix:
Gender:F
Credentials:APRN, PMHNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:510 OLD CANDIA RD UNIT 11
Mailing Address - Street 2:
Mailing Address - City:CANDIA
Mailing Address - State:NH
Mailing Address - Zip Code:03034-2413
Mailing Address - Country:US
Mailing Address - Phone:603-803-4003
Mailing Address - Fax:603-212-1199
Practice Address - Street 1:510 OLD CANDIA RD UNIT 11
Practice Address - Street 2:
Practice Address - City:CANDIA
Practice Address - State:NH
Practice Address - Zip Code:03034-2413
Practice Address - Country:US
Practice Address - Phone:603-803-4003
Practice Address - Fax:603-212-1199
Is Sole Proprietor?:No
Enumeration Date:2024-08-07
Last Update Date:2025-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH074071-23363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health