Provider Demographics
NPI:1467331629
Name:WILKEN, ASHLEIGH MICHELLE (BSN, RN, CCRN-K)
Entity type:Individual
Prefix:MRS
First Name:ASHLEIGH
Middle Name:MICHELLE
Last Name:WILKEN
Suffix:
Gender:F
Credentials:BSN, RN, CCRN-K
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4228 N US HIGHWAY 35
Mailing Address - Street 2:
Mailing Address - City:LA PORTE
Mailing Address - State:IN
Mailing Address - Zip Code:46350-8699
Mailing Address - Country:US
Mailing Address - Phone:219-628-3160
Mailing Address - Fax:
Practice Address - Street 1:3500 FRANCISCAN WAY
Practice Address - Street 2:
Practice Address - City:MICHIGAN CITY
Practice Address - State:IN
Practice Address - Zip Code:46360-0033
Practice Address - Country:US
Practice Address - Phone:219-214-4379
Practice Address - Fax:219-877-1920
Is Sole Proprietor?:No
Enumeration Date:2025-08-30
Last Update Date:2025-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN28220059A163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse