Provider Demographics
NPI:1811944473
Name:WESSELLS, JANET M (CNM ARNP)
Entity type:Individual
Prefix:
First Name:JANET
Middle Name:M
Last Name:WESSELLS
Suffix:
Gender:F
Credentials:CNM ARNP
Other - Prefix:
Other - First Name:JANET
Other - Middle Name:M
Other - Last Name:PULLARA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CNM ARNP
Mailing Address - Street 1:PO BOX 25317
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33622-5317
Mailing Address - Country:US
Mailing Address - Phone:813-286-0033
Mailing Address - Fax:813-282-1806
Practice Address - Street 1:1501 S PINELLAS AVE
Practice Address - Street 2:SUITE T
Practice Address - City:TARPON SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:34689-1955
Practice Address - Country:US
Practice Address - Phone:727-943-2229
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-05-28
Last Update Date:2007-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP104262367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLP37503Medicare UPIN
FLE5988AMedicare ID - Type UnspecifiedMEDICARE