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NPI Code Detail

MEDICARE: ELIZABETH ANNE WESSEL CRNP

MEDICARE: ELIZABETH ANNE WESSEL CRNP
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
1363LP0200XPediatric Nurse Practitioner1-108105AL

General Provider Information

NPI Number : 1609070424
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELIZABETH ANNE WESSEL CRNP
Provider Business Mailing Address
First Line : 15410 HWY 231
Second Line :
City : UNION GROVE
State : AL
Zip : 35175
Country : US
Telephone Number : 256-457-5114
Fax Number :
Provider Business Practice Location Address
First Line : 2006 FRANKLIN ST SE STE 107
Second Line :
City : HUNTSVILLE
State : AL
Zip : 35801-4537
Country : US
Telephone Number : 256-539-5339
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/14/2007
Last Update Date : 03/25/2009

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Directions to “ ELIZABETH ANNE WESSEL CRNP” Practice Location

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