Individual
MS. AMY HOLMGREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, MPH
Contact information
Practice address
3010 GRAND AVE, WAUKEGAN, IL 60085-2321
(847) 377-8950
(847) 948-5602
Mailing address
3010 GRAND AVE, WAUKEGAN, IL 60085-2321
(847) 377-8950
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
041244670
IL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
209019256
IL
Other
Enumeration date
05/21/2013
Last updated
08/06/2019
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