ELIZABETH ANN WENNERSTROM (NPI# 1114498029) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114498029 |
| Entity Type | Individual |
| Full Name | ELIZABETH ANN WENNERSTROM |
| Credential | PA |
| Practice Address |
231 Windermere Blvd Alexandria LA 71303-3538 |
| Practice Telephone | 3184872020 |
| Practice Fax Number | 3184270181 |
| Mailing Telephone | 3184872020 |
| Mailing Fax Number | 3184270181 |
| Enumeration Date | 2018-12-17 |
| Last Update Date | 2018-12-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
311148 | LA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609011063 | Elizabeth Wennerstrom | Developmental Therapist | 198 Sype Dr, Carol Stream, IL 60188-3374 | 2008-12-12 |
| Street Address |
231 WINDERMERE BLVD |
| City | ALEXANDRIA |
| State | LA |
| Zip Code | 71303-3538 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801856232 | Thomas Chad Norton | Ophthalmology | 231 Windermere Blvd, Alexandria, LA 71303 | 2006-03-28 |
| 1508478025 | Justin Lee Zachary | Optometrist | 231 Windermere Blvd, Alexandria, LA 71303-3538 | 2020-08-17 |
| 1316564461 | Anthony James Barbiero | Optometrist | 231 Windermere Blvd, Alexandria, LA 71303-3538 | 2020-07-06 |
| 1952968562 | Silva Hamade | Optometrist | 231 Windermere Blvd, Alexandria, LA 71303-3538 | 2019-05-20 |
| 1861868853 | Brett Michael Bennett | Optometrist | 231 Windermere Blvd, Alexandria, LA 71303-3538 | 2015-08-13 |
| 1730440298 | Alexandria Eye and Laser Center, LLC | Eyewear Supplier (Equipment, not the service) | 231 Windermere Blvd, Alexandria, LA 71303-3538 | 2012-05-31 |
| 1568780195 | Patrick Redmond | Ophthalmology | 231 Windermere Blvd, Alexandria, LA 71303-3538 | 2010-05-06 |
| 1801086202 | Eric Reish | Ophthalmology | 231 Windermere Blvd, Alexandria, LA 71303-3538 | 2007-07-31 |
| 1881655082 | Richard M Walters | Optometrist | 231 Windermere Blvd, Alexandria, LA 71303 | 2006-03-29 |
| 1467413815 | Karren Laird Russo | Ophthalmology | 231 Windermere Blvd, Alexandria, LA 71303-3538 | 2006-03-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346877370 | Victoria Bowie | Peer Specialist | 1405 Peterman Drive Suite A, Alexandria, LA 71303 | 2020-03-27 |
| 1396375051 | Christin Authement | Social Worker | 8326 Kelwood Avenue, Alexandria, LA 71303 | 2020-01-22 |
| 1164904520 | Carissa A Sorenson | Pharmacist | 4448 Jackson St, Alexandria, LA 71303 | 2018-09-02 |
| 1144731027 | Bradly Herman | Counselor | 1450 Peterman Drive, Alexandria, LA 71303 | 2017-10-18 |
| 1669991915 | Rashika Holmes | Counselor | 1538 Chase Dr, Alexandria, LA 71303 | 2017-09-18 |
| 1215466594 | Terraniecya Shepherd | Case Manager/Care Coordinator | 700 Veterans Dr. Apt. 608, Alexandria, LA 71303 | 2017-06-08 |
| 1427587864 | Jason Micheal Lachica | Counselor | 3921 Indpendence Drive Ste 104, Alexandria, LA 71303 | 2017-06-08 |
| 1669929188 | Ryan Knoll | Chiropractor | 5419 Jackson St. Ext. Suite B, Alexandria, LA 71303 | 2016-09-01 |
| 1023464393 | Heart of Hospice, LLC | Hospice Care, Community Based | 1001 Bayou Pl, Alexandria, LA 71303 | 2016-05-05 |
| 1770947764 | Jiquiah White | Counselor | 2016 Innis Dr, Alexandria, LA 71303 | 2016-04-06 |
| Find all providers in zip 71303 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124638986 | Courtney Anne Kassner | Physician Assistant | 2706 Davis Ave, Alexandria, VA 22302-2817 | 2020-08-06 |
| 1316418544 | Kristen Elizabeth Dreyer | Physician Assistant | 5270 Duke St Apt C421, Alexandria, VA 22304-2943 | 2018-12-16 |
| 1083140677 | Rachel Suzann Young | Physician Assistant | 1501 Duke St Ste 100, Alexandria, VA 22314-3449 | 2017-05-03 |
| 1770821381 | Christine M Hollenbeck | Physician Assistant | 8101 Hinson Farm Rd Ste 219, Alexandria, VA 22306-3406 | 2013-01-17 |
| 1811244007 | Jennifer Weiss | Physician Assistant | 4660 Kenmore Ave Ste 810, Alexandria, VA 22304-1300 | 2012-08-07 |
| 1528237724 | Amy Michelle Suter | Physician Assistant | 4615 Parliament Dr Ste 204, Alexandria, LA 71303-2780 | 2008-02-21 |
| 1174727986 | Jamie Dunn Perrotti | Physician Assistant | 145 Yorktown Dr, Alexandria, LA 71303-3621 | 2007-06-14 |
| 1174686877 | Hazel Alviar | Physician Assistant | 1011 Snow White Dr, Alexandria, LA 71303-3234 | 2006-12-18 |
| 1003921008 | Jessica Suppa Ware | Physician Assistant | 4401 Ford Ave Ste 250, Alexandria, VA 22302-1467 | 2006-08-20 |
| 1316955453 | Lori Ann Romano-collins | Physician Assistant | 8219 Treebrooke Ln, Alexandria, VA 22308-1746 | 2006-08-04 |
| Find all providers in ALEXANDRIA | ||||
| City | ALEXANDRIA |
| Zip Code | 71303 |
Please comment or provide details below to improve the information on ELIZABETH ANN WENNERSTROM.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.