Provider Demographics
NPI:1174081210
Name:WHEELER, FLOSERPIDA ABRIL
Entity type:Individual
Prefix:MRS
First Name:FLOSERPIDA
Middle Name:ABRIL
Last Name:WHEELER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:FLOSERPIDA
Other - Middle Name:CAPUNO
Other - Last Name:ABRIL
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:130 MEDICAL CENTER PKWY STE 1
Mailing Address - Street 2:
Mailing Address - City:HUNTSVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:77340-4943
Mailing Address - Country:US
Mailing Address - Phone:936-291-8205
Mailing Address - Fax:936-291-3862
Practice Address - Street 1:130 MEDICAL CENTER PKWY STE 1
Practice Address - Street 2:
Practice Address - City:HUNTSVILLE
Practice Address - State:TX
Practice Address - Zip Code:77340-4943
Practice Address - Country:US
Practice Address - Phone:936-291-8205
Practice Address - Fax:936-291-3862
Is Sole Proprietor?:Yes
Enumeration Date:2019-03-07
Last Update Date:2020-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP140566363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty