Versluys, Ashley D

Versluys, Ashley D is an individual health care provider with primary practice located at 4600 Memorial Dr Div Surg Ct Adult Cardio, Ste 100, Belleville IL 62226-5368. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Gerontology, which is considered as her primary health care specialty. Versluys, Ashley D can be contacted via phone (314) 362-7260.

Contact Information

Primary practice address
4600 Memorial Dr Div Surg Ct Adult Cardio, Ste 100 Belleville IL 62226-5368
Phone: (314) 362-7260
Fax: (314) 747-4216
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X 209023360 Illinois

Profile Details

NPI number 1417531930
LBN Legal business name Versluys, Ashley D
Credentials AGNP
Entity Individual
Sole proprietor 1 No
Enumeration date May 11th, 2021
Last updated Nov 8th, 2023 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1417531930 NPPES
Missouri MEDICAID 420118894

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