Provider Demographics
NPI:1043026164
Name:WINSCHEL, OLIVIA DAWN (PA-C)
Entity type:Individual
Prefix:
First Name:OLIVIA
Middle Name:DAWN
Last Name:WINSCHEL
Suffix:
Gender:
Credentials:PA-C
Other - Prefix:
Other - First Name:OLIVIA
Other - Middle Name:DAWN
Other - Last Name:BORGSCHULTE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PA-C
Mailing Address - Street 1:1 BEDFORD DR
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63144-2502
Mailing Address - Country:US
Mailing Address - Phone:636-487-2088
Mailing Address - Fax:
Practice Address - Street 1:621 S NEW BALLAS RD STE 7011B
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63141-8275
Practice Address - Country:US
Practice Address - Phone:314-251-6840
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-12-04
Last Update Date:2025-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2025007598363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant