Provider Demographics
NPI:1679839104
Name:WHEELER, RENATA JOY (APN-BC)
Entity type:Individual
Prefix:
First Name:RENATA
Middle Name:JOY
Last Name:WHEELER
Suffix:
Gender:F
Credentials:APN-BC
Other - Prefix:
Other - First Name:RENATA
Other - Middle Name:
Other - Last Name:WARD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:APN-BC
Mailing Address - Street 1:2695 ROCKY MOUNTAIN AVE STE 150
Mailing Address - Street 2:
Mailing Address - City:LOVELAND
Mailing Address - State:CO
Mailing Address - Zip Code:80538-9071
Mailing Address - Country:US
Mailing Address - Phone:970-624-4127
Mailing Address - Fax:970-490-4173
Practice Address - Street 1:1625 MEDICAL CENTER PT STE 220
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80907-5798
Practice Address - Country:US
Practice Address - Phone:719-364-5080
Practice Address - Fax:719-364-5081
Is Sole Proprietor?:No
Enumeration Date:2012-04-10
Last Update Date:2025-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH054550-23363LA2200X
COC-APN.0102757-C-NP363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health