Healthcare Provider Details

I. General information

NPI: 1144634163
Provider Name (Legal Business Name): ASHLEY MARIE KING F.N.P
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ASHLEY MARIE SUELLENTROP

II. Dates (important events)

Enumeration Date: 06/18/2014
Last Update Date: 10/27/2025
Certification Date: 10/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7334 S LINDBERGH BLVD
SAINT LOUIS MO
63125-4522
US

IV. Provider business mailing address

7334 S LINDBERGH BLVD
SAINT LOUIS MO
63125-4522
US

V. Phone/Fax

Practice location:
  • Phone: 314-892-8352
  • Fax:
Mailing address:
  • Phone: 314-892-8352
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberAP70045143
License Number StateWA
# 2
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number95032200
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number80396
License Number StateNM
# 4
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number12121
License Number StateMN
# 5
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number313620
License Number StateAZ
# 6
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number14101505-4405
License Number StateUT
# 7
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number209015581
License Number StateIL
# 8
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number242284
License Number StateMT
# 9
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number10031325
License Number StateOR
# 10
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number2013041620
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: