Wiesehan, Holly J
Wiesehan, Holly J is an individual health care provider with primary practice located at 1020 N Mason Rd Div Im Cardiology, Ste 100, Saint Louis MO 63141-6666. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Gerontology, which is considered as her primary health care specialty. Wiesehan, Holly J can be contacted via phone (314) 362-1291.Contact Information
Primary practice address
1020 N Mason Rd Div Im Cardiology, Ste 100
Saint Louis MO 63141-6666
Phone: (314) 362-1291
Fax: (314) 996-3268
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Gerontology | 363LG0600X | 2015006317 | Missouri |
Profile Details
| NPI number | 1609260116 |
|---|---|
| LBN Legal business name | Wiesehan, Holly J |
| Credentials | ACNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 23rd, 2015 |
| Last updated | Sep 2nd, 2025 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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