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NPI Code Detail

MEDICARE: ELAINE KATHERINE WESSEL APNP

MEDICARE: ELAINE KATHERINE WESSEL APNP
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
1363L00000XNurse Practitioner11144WI
2363LP0808XPsychiatric/Mental Health Nurse Practitioner11144WI

General Provider Information

NPI Number : 1942974571
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELAINE KATHERINE WESSEL APNP
Provider Business Mailing Address
First Line : 4800 N SCOTTSDALE RD STE 2500
Second Line :
City : SCOTTSDALE
State : AZ
Zip : 85251-7630
Country : US
Telephone Number : 262-999-3495
Fax Number :
Provider Business Practice Location Address
First Line : 16535 W BLUEMOUND RD STE 200
Second Line :
City : BROOKFIELD
State : WI
Zip : 53005-5906
Country : US
Telephone Number : 262-999-3495
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/06/2021
Last Update Date : 05/22/2026

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