Individual
MRS. DONNA CAROL HOLT - COSTAIN
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
APRN,BC
Contact information
Practice address
70 JUNGERMANN CIR, SUITE 101, ST PETERS, MO 63376-1622
(636) 926-0404
(636) 939-3218
Mailing address
70 JUNGERMANN CIR, SUITE 101, ST PETERS, MO 63376-1622
(636) 926-0404
(636) 939-3218
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2000168672
MO
Other
Enumeration date
09/14/2005
Last updated
07/09/2007
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