Provider Demographics
NPI:1366339731
Name:WHEELER, REAGAN (FNP-C)
Entity type:Individual
Prefix:
First Name:REAGAN
Middle Name:
Last Name:WHEELER
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2950 GALIANO ST APT 107
Mailing Address - Street 2:
Mailing Address - City:CORAL GABLES
Mailing Address - State:FL
Mailing Address - Zip Code:33134-6178
Mailing Address - Country:US
Mailing Address - Phone:816-809-3238
Mailing Address - Fax:
Practice Address - Street 1:2950 GALIANO ST APT 107
Practice Address - Street 2:
Practice Address - City:CORAL GABLES
Practice Address - State:FL
Practice Address - Zip Code:33134-6178
Practice Address - Country:US
Practice Address - Phone:816-809-3238
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-19
Last Update Date:2025-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ325459363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily