Provider Demographics
NPI:1952039778
Name:WESSELS, ERIC L (APRN)
Entity Type:Individual
Prefix:
First Name:ERIC
Middle Name:L
Last Name:WESSELS
Suffix:
Gender:M
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:965 S 27TH ST STE D
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68510-3140
Mailing Address - Country:US
Mailing Address - Phone:402-477-3505
Mailing Address - Fax:
Practice Address - Street 1:965 S 27TH ST STE D
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68510-3140
Practice Address - Country:US
Practice Address - Phone:402-477-3505
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-08-10
Last Update Date:2022-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE114264363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner