Individual
JUSTINE HOLTHAUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6147 STATE ROUTE 122 STE 200, MIDDLETOWN, OH 45005-5201
(937) 490-2090
Mailing address
1 PRESTIGE PL STE 550, MIAMISBURG, OH 45342-6115
(937) 762-1310
(937) 522-8068
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN.CNP.023492
OH
Other
Enumeration date
10/09/2018
Last updated
03/29/2022
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