Individual
ANNA KATHLEEN HOLDENER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4500 MEMORIAL DR, BELLEVILLE, IL 62226-5399
(618) 233-7750
Mailing address
PO BOX 23229, BELLEVILLE, IL 62223-0229
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
2016020073
MO
163W00000X
Registered Nurse
41464571
IL
367500000X
Certified Registered Nurse Anesthetist
Primary
209023373
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/09/2021
Last updated
01/06/2022
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