Provider Demographics
NPI:1003942772
Name:WILMESHERR, ELIZABETH ANN (MA, F-AAA)
Entity type:Individual
Prefix:MRS
First Name:ELIZABETH
Middle Name:ANN
Last Name:WILMESHERR
Suffix:
Gender:F
Credentials:MA, F-AAA
Other - Prefix:MRS
Other - First Name:ELIZABETH
Other - Middle Name:KRUEL
Other - Last Name:WILMESHERR
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MA, F-AAA
Mailing Address - Street 1:102 N CHURCH ST
Mailing Address - Street 2:
Mailing Address - City:UNION
Mailing Address - State:MO
Mailing Address - Zip Code:63084-1610
Mailing Address - Country:US
Mailing Address - Phone:636-583-4902
Mailing Address - Fax:636-583-4925
Practice Address - Street 1:102 N CHURCH ST
Practice Address - Street 2:
Practice Address - City:UNION
Practice Address - State:MO
Practice Address - Zip Code:63084-1610
Practice Address - Country:US
Practice Address - Phone:636-583-4902
Practice Address - Fax:636-583-4925
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-26
Last Update Date:2025-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO00989231H00000X
MO000475237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist
No231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO45-00071OtherUNITED HEALTH CARE
MO23445OtherMERCY HEALTH PLAN
MO107868OtherBLUE CROSS BLUE SHIELD
MO486809OtherHEALTHLINK