Provider Demographics
NPI:1619348042
Name:WESSELL, LISA MARIE (WHNP-BC)
Entity type:Individual
Prefix:MRS
First Name:LISA
Middle Name:MARIE
Last Name:WESSELL
Suffix:
Gender:F
Credentials:WHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:3000 YOUNGFIELD ST STE 262
Mailing Address - Street 2:
Mailing Address - City:WHEAT RIDGE
Mailing Address - State:CO
Mailing Address - Zip Code:80215-6551
Mailing Address - Country:US
Mailing Address - Phone:720-807-6020
Mailing Address - Fax:833-471-6003
Practice Address - Street 1:2801 YOUNGFIELD STREET
Practice Address - Street 2:SUITE 200
Practice Address - City:GOLDEN
Practice Address - State:CO
Practice Address - Zip Code:80401
Practice Address - Country:US
Practice Address - Phone:303-940-1867
Practice Address - Fax:303-940-1894
Is Sole Proprietor?:No
Enumeration Date:2015-10-12
Last Update Date:2024-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO0121014163W00000X
CO0991860363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
No163W00000XNursing Service ProvidersRegistered Nurse