Individual
EILEEN HOLT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
225 CLARKSON RD, ELLISVILLE, MO 63011-2278
(636) 685-7715
Mailing address
12855 N 40 DR STE 275, SAINT LOUIS, MO 63141-8667
(314) 395-7699
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2016005301
MO
Other
Enumeration date
03/12/2016
Last updated
12/24/2024
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