MEDICARE: MATTHEW THOMAS WESSLING ARNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363L00000X	Nurse Practitioner	A172506	IA

General Provider Information

NPI Number	:	1225743875
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MATTHEW THOMAS WESSLING ARNP

Provider Business Mailing Address
First Line	:	405 S CLARK ST
Second Line	:
City	:	CARROLL
State	:	IA
Zip	:	51401-3065
Country	:	US
Telephone Number	:	712-792-2222
Fax Number	:

Provider Business Practice Location Address
First Line	:	405 S CLARK ST
Second Line	:
City	:	CARROLL
State	:	IA
Zip	:	51401-3065
Country	:	US
Telephone Number	:	712-792-2222
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/18/2023
Last Update Date	:	06/08/2026

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