Individual
MS. CHARISSA FAITH HOLESKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
3 SAINT ELIZABETH BLVD, O FALLON, IL 62269-1281
(618) 641-5803
(618) 607-5116
Mailing address
3 SAINT ELIZABETH BLVD, O FALLON, IL 62269-1281
(618) 641-5803
(618) 607-5116
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209035756
IL
363LG0600X
Gerontology Nurse Practitioner
2015038009
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
420034086
—
MO
Enumeration date
08/18/2015
Last updated
07/23/2026
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