Individual
HOLLY A HUELSKAMP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
606 MAPLE VALLEY DR, FARMINGTON, MO 63640-1976
(573) 756-7779
(573) 756-6914
Mailing address
406 JEFFERSON ST, STE GENEVIEVE, MO 63670-1221
(573) 883-9697
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
091129
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
429068307
—
MO
Enumeration date
10/16/2006
Last updated
03/22/2011
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