Provider Demographics
NPI:1538714647
Name:WHEELER, IKE (MSN, APRN-CNP, PMHNP)
Entity type:Individual
Prefix:
First Name:IKE
Middle Name:
Last Name:WHEELER
Suffix:
Gender:M
Credentials:MSN, APRN-CNP, PMHNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:955 LAWRENCE WAY
Mailing Address - Street 2:SUITE #150
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80204-0000
Mailing Address - Country:US
Mailing Address - Phone:303-615-9999
Mailing Address - Fax:303-942-7262
Practice Address - Street 1:955 LAWRENCE WAY
Practice Address - Street 2:SUITE #150
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80204-0000
Practice Address - Country:US
Practice Address - Phone:303-615-9999
Practice Address - Fax:303-942-7262
Is Sole Proprietor?:No
Enumeration Date:2019-08-06
Last Update Date:2025-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHAPRN.CNP.025230363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health