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1891339552 NPI number — TRESSA ELLEN WESSERLING LPN

NPI Number: 1891339552
Health Care Provider/Practitioner: TRESSA ELLEN WESSERLING LPN

Information about “1891339552” NPI (TRESSA ELLEN WESSERLING LPN) exists in 1891339552 in HTML format HTML  |  1891339552 in plain Text format TXT  |  1891339552 in PDF (Portable Document Format) PDF  |  1891339552 in an XML format XML  formats.

NPI Number : 1891339552 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1891339552",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "WESSERLING",
    "FirstName": "TRESSA",
    "MiddleName": "ELLEN",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "LPN",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "28303 DEQUINDRE RD",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "MADISON HEIGHTS",
    "MailingAddressStateName": "MI",
    "MailingAddressPostalCode": "48071-3040",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "248-658-1116",
    "MailingAddressFaxNumber": "248-658-1120",
    "FirstLinePracticeLocationAddress": "28303 DEQUINDRE RD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "MADISON HEIGHTS",
    "PracticeLocationAddressStateName": "MI",
    "PracticeLocationAddressPostalCode": "48071-3040",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "248-658-1116",
    "PracticeLocationAddressFaxNumber": "248-658-1120",
    "EnumerationDate": "11/05/2019",
    "LastUpdateDate": "02/12/2026",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": "03/06/2024",
    "NPIReactivationDate": "02/12/2026",
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "164W00000X",
        "TaxonomyName": "Licensed Practical Nurse",
        "LicenseNumber": "4703115049",
        "LicenseNumberStateCode": "MI",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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