Provider Demographics
NPI:1366268419
Name:WHEELER, RUTH EVELYN
Entity type:Individual
Prefix:
First Name:RUTH
Middle Name:EVELYN
Last Name:WHEELER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3901 ESSEX CT
Mailing Address - Street 2:
Mailing Address - City:CAMP SPRINGS
Mailing Address - State:MD
Mailing Address - Zip Code:20748-1631
Mailing Address - Country:US
Mailing Address - Phone:202-286-8429
Mailing Address - Fax:
Practice Address - Street 1:70 I ST SE APT 627
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20003-4822
Practice Address - Country:US
Practice Address - Phone:404-284-5926
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-11-22
Last Update Date:2024-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant