Individual
HOLLY KATHLEEN CONDIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP
Contact information
Practice address
107 E HIGHLAND DR, OCONTO FALLS, WI 54154-1002
(920) 846-3092
Mailing address
PO BOX 1866, GREEN BAY, WI 54305-1866
(920) 445-7210
(920) 846-8313
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
247775-30
WI
363LF0000X
Family Nurse Practitioner
Primary
13061-33
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13061-33
WI APNP LICENSE
WI
01
—
F06220927
AMERICAN ACADEMY OF NURSE PRACTITIONERS
—
Enumeration date
07/13/2022
Last updated
03/07/2023
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