Individual
ANGELA HOLTHAUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
30 E APPLE ST, SUITE 5254, DAYTON, OH 45409-2939
(937) 208-4200
Mailing address
30 E APPLE ST, SUITE 5254, DAYTON, OH 45409-2939
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
COA.17133-NP
OH
363LF0000X
Family Nurse Practitioner
RN.333762-COA1
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0121244
—
OH
Enumeration date
03/02/2015
Last updated
07/08/2015
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