Wheelden, Bonney Lee

Wheelden, Bonney Lee is an individual health care provider with primary practice located at Southern Regional Area Health Education Center 1601 Owen Drive, Fayetteville NC 28304. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Primary Care. Physician Assistants & Advanced Practice Nursing Providers / Primary Care is her primary health care specialty. Wheelden, Bonney Lee can be contacted via phone (910) 678-7251.

Contact Information

Primary practice address
Southern Regional Area Health Education Center 1601 Owen Drive Fayetteville NC 28304
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X ARNP9281059 Florida
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X 5013199 North Carolina

Profile Details

NPI number 1720267925
LBN Legal business name Wheelden, Bonney Lee
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 24th, 2007
Last updated Dec 21st, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1720267925 NPPES
Florida MEDICAID 3120309 00

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