Provider Demographics
NPI:1104478098
Name:SIELSCHOTT, ANNE MARIE (APRNCNP)
Entity type:Individual
Prefix:
First Name:ANNE
Middle Name:MARIE
Last Name:SIELSCHOTT
Suffix:
Gender:
Credentials:APRNCNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:830 W HIGH ST STE 250
Mailing Address - Street 2:
Mailing Address - City:LIMA
Mailing Address - State:OH
Mailing Address - Zip Code:45801-3981
Mailing Address - Country:US
Mailing Address - Phone:419-226-9037
Mailing Address - Fax:
Practice Address - Street 1:770 W HIGH ST STE 210
Practice Address - Street 2:
Practice Address - City:LIMA
Practice Address - State:OH
Practice Address - Zip Code:45801-5902
Practice Address - Country:US
Practice Address - Phone:419-226-9610
Practice Address - Fax:419-226-9602
Is Sole Proprietor?:No
Enumeration Date:2019-07-11
Last Update Date:2025-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHAPRN.CNP.024636363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily