Individual
ERIN K HOLTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, APNP, NNP-BC
Contact information
Practice address
10400 75TH ST, KENOSHA, WI 53142-7884
(262) 948-5600
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2250
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
13052
WI
363LN0005X
Critical Care Neonatal Nurse Practitioner
13052
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100215714
—
WI
Enumeration date
08/18/2022
Last updated
05/07/2024
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