Individual
ALEXIS MARIE HOLZEM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
226768-30
WI
367500000X
Certified Registered Nurse Anesthetist
Primary
14100-33
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1144920091
—
WI
Enumeration date
03/08/2023
Last updated
08/03/2023
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