Provider Demographics
NPI:1508018425
Name:WESSELS, CONSTANCE MARIE (ARNP)
Entity Type:Individual
Prefix:
First Name:CONSTANCE
Middle Name:MARIE
Last Name:WESSELS
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:CONSTANCE
Other - Middle Name:MARIE
Other - Last Name:STEFFEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:ARNP
Mailing Address - Street 1:1734 CARRIAGE HILL CT
Mailing Address - Street 2:
Mailing Address - City:DUBUQUE
Mailing Address - State:IA
Mailing Address - Zip Code:52003-8584
Mailing Address - Country:US
Mailing Address - Phone:563-557-1684
Mailing Address - Fax:
Practice Address - Street 1:1734 CARRIAGE HILL CT
Practice Address - Street 2:
Practice Address - City:DUBUQUE
Practice Address - State:IA
Practice Address - Zip Code:52003-8584
Practice Address - Country:US
Practice Address - Phone:563-557-1684
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-10-22
Last Update Date:2012-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IAA052668363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner