Individual
EMILY MADELYN HOLLENKAMP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, CPNP
Contact information
Practice address
4600 MEMORIAL DR STE G60, BELLEVILLE, IL 62226-5368
(618) 257-2550
(618) 257-2569
Mailing address
4600 MEMORIAL DR STE G60, BELLEVILLE, IL 62226-5368
(618) 257-2550
(618) 257-2569
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
2003016022
MO
363LP0200X
Pediatric Nurse Practitioner
Primary
209.008369041.343530
IL
Other
Enumeration date
10/15/2008
Last updated
09/28/2010
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