Individual
KRISTEN D HOLZWART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN, APNP, FNP-C
Contact information
Practice address
1001 SERVICE RD, KIEL, WI 53042-1297
(920) 894-2636
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2250
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
9013
WI
363LF0000X
Family Nurse Practitioner
9013
WI
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
9013
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100086200
—
WI
Enumeration date
01/25/2019
Last updated
03/07/2025
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