Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SHENYKA MICOLE WHEATLY, PA-C
Active Sole ProprietorSHENYKA MICOLE WHEATLY, PA-C is a Physician Assistant healthcare provider located in PERU, Illinois. NPI 1659706919 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · PERU, IL
Registration Details
- NPI Number
- 1659706919
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 5, 2013 (12.979410383519 yrs)
- Last Updated
- Sep 5, 2013
- License
-
085.004736 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
925 WEST STREETPERU, IL, 61354Browse IL providers · Browse ZIP 61354
- Phone
- 8886320543
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in PERU, IL
| Name | Credential | NPI |
|---|---|---|
| DEBRA LYNN PYSZKA | — | 1720161524 |
| KRISTIE L SHIN | PA-C | 1861644734 |
| MRS. ANGELA MARIE VEZZETTI | PA-C | 1699005678 |
| JOHN T KUZMA | PA-C | 1518361641 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.