Provider Demographics
NPI:1659851343
Name:WESSER, ELIZABETH ANNE (RN, CNP)
Entity Type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:ANNE
Last Name:WESSER
Suffix:
Gender:F
Credentials:RN, CNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3625 W 65TH ST STE 100
Mailing Address - Street 2:
Mailing Address - City:EDINA
Mailing Address - State:MN
Mailing Address - Zip Code:55435-2147
Mailing Address - Country:US
Mailing Address - Phone:952-920-7001
Mailing Address - Fax:952-345-0472
Practice Address - Street 1:3625 W 65TH ST STE 100
Practice Address - Street 2:
Practice Address - City:EDINA
Practice Address - State:MN
Practice Address - Zip Code:55435-2147
Practice Address - Country:US
Practice Address - Phone:952-920-7001
Practice Address - Fax:952-345-0472
Is Sole Proprietor?:No
Enumeration Date:2018-08-21
Last Update Date:2018-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MNCNP6028363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health