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
Fax: (314) 996-3268
Website:

Health care specialties

SpecialtyCodeLicense #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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