Provider Demographics
NPI:1598355406
Name:RESSEL, SARAH NICOLE (MSN, APRN, FNP-C)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:NICOLE
Last Name:RESSEL
Suffix:
Gender:F
Credentials:MSN, APRN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:714 BROADWAY ST
Mailing Address - Street 2:
Mailing Address - City:CAPE GIRARDEAU
Mailing Address - State:MO
Mailing Address - Zip Code:63701-5514
Mailing Address - Country:US
Mailing Address - Phone:573-264-5020
Mailing Address - Fax:573-264-5021
Practice Address - Street 1:1318A MAIN ST
Practice Address - Street 2:
Practice Address - City:SCOTT CITY
Practice Address - State:MO
Practice Address - Zip Code:63780-1937
Practice Address - Country:US
Practice Address - Phone:573-264-5020
Practice Address - Fax:573-264-5021
Is Sole Proprietor?:No
Enumeration Date:2021-01-25
Last Update Date:2021-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2020028114363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily