Provider Demographics
NPI:1144720558
Name:WESSELSCHMIDT, ASHLEIGH NICHOLE (ANP)
Entity type:Individual
Prefix:MS
First Name:ASHLEIGH
Middle Name:NICHOLE
Last Name:WESSELSCHMIDT
Suffix:
Gender:F
Credentials:ANP
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Other - Credentials:
Mailing Address - Street 1:PO BOX 7412011
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60674-2011
Mailing Address - Country:US
Mailing Address - Phone:314-286-2500
Mailing Address - Fax:314-362-7086
Practice Address - Street 1:5225 MID AMERICA PLZ
Practice Address - Street 2:DIV IM MEDICAL ONCOLOGY, STE D115
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63129-0002
Practice Address - Country:US
Practice Address - Phone:314-286-2500
Practice Address - Fax:314-362-7086
Is Sole Proprietor?:No
Enumeration Date:2018-02-13
Last Update Date:2025-04-17
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MO2018004208363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO420053123Medicaid