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General NPI Number Information
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NPI Number | 1609330414
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Entity Type | Individual
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Provider Name | KRISTEN D HOLZWART MSN, APNP, FNP-C
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Gender | Female
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Dates
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Enumeration Date | 01/25/2019
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Last Update Date | 03/07/2025
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Provider Practice Location Address
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Address Line | 1001 SERVICE RD
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City | KIEL
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State | WI
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Zip | 53042-1297
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Country | US
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Telephone | 920-894-2636
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 735044
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City | CHICAGO
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State | IL
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Zip | 60673-5044
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Country | US
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Telephone | 800-326-2250
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 9013
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License Number State | WI
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 9013
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License Number State | WI
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Taxonomy #3
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 9013
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License Number State | WI
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