Provider Demographics
NPI:1881573467
Name:WHEELER, KODY JAMES (DNP, APRN-CNP, FNP-C)
Entity type:Individual
Prefix:DR
First Name:KODY
Middle Name:JAMES
Last Name:WHEELER
Suffix:
Gender:M
Credentials:DNP, APRN-CNP, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1541 DIAMOND DRIVE
Mailing Address - Street 2:
Mailing Address - City:CASPER
Mailing Address - State:WY
Mailing Address - Zip Code:82601-6247
Mailing Address - Country:US
Mailing Address - Phone:307-232-3235
Mailing Address - Fax:307-215-0898
Practice Address - Street 1:1541 DIAMOND DRIVE
Practice Address - Street 2:
Practice Address - City:CASPER
Practice Address - State:WY
Practice Address - Zip Code:82601-6247
Practice Address - Country:US
Practice Address - Phone:307-232-3235
Practice Address - Fax:307-215-0898
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-28
Last Update Date:2025-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WY57279363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty