Individual
MS. HOLLY CHRISTINE MATHIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN-BC
Contact information
Practice address
2232 KEHRSGROVE CT, CHESTERFIELD, MO 63005-6519
(636) 519-9987
Mailing address
2232 KEHRSGROVE CT, CHESTERFIELD, MO 63005-6519
(636) 519-9987
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
142859
MO
Other
Enumeration date
12/03/2005
Last updated
09/07/2011
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