Provider Demographics
NPI:1649932260
Name:WESSEL, CARSYN (PA-C)
Entity type:Individual
Prefix:
First Name:CARSYN
Middle Name:
Last Name:WESSEL
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1557 GRANDVIEW DR
Mailing Address - Street 2:
Mailing Address - City:JASPER
Mailing Address - State:IN
Mailing Address - Zip Code:47546-9302
Mailing Address - Country:US
Mailing Address - Phone:812-630-6689
Mailing Address - Fax:
Practice Address - Street 1:1557 GRANDVIEW DR
Practice Address - Street 2:
Practice Address - City:JASPER
Practice Address - State:IN
Practice Address - Zip Code:47546-9302
Practice Address - Country:US
Practice Address - Phone:812-630-6689
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-10-11
Last Update Date:2021-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant