Healthcare Provider Details

I. General information

NPI: 1487692885
Provider Name (Legal Business Name): LOIS ANN WESSEL CFNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/04/2006
Last Update Date: 09/09/2024
Certification Date: 09/09/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8630 FENTON ST, #1200
SILVER SPRING MD
20910-5721
US

IV. Provider business mailing address

8665 GEORGIA AVE
SILVER SPRING MD
20910-3405
US

V. Phone/Fax

Practice location:
  • Phone: 301-585-1250
  • Fax: 301-585-6289
Mailing address:
  • Phone: 240-650-0811
  • Fax: 301-495-0318

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberR122687
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: