Individual
MELINDA HOLT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
505 BROADWAY ST, BARABOO, WI 53913-2183
(608) 355-4206
(608) 355-4299
Mailing address
PO BOX 29, BARABOO, WI 53913-0029
(608) 355-4206
(608) 355-4299
Taxonomy
Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
Primary
91300-30
WI
Other
Enumeration date
01/04/2016
Last updated
01/04/2016
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