Individual
BRANDY HOLTHAUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
670 PIERCE BLVD, O FALLON, IL 62269-2579
(618) 206-2094
(618) 607-5127
Mailing address
670 PIERCE BLVD, O FALLON, IL 62269-2579
(618) 206-2094
(618) 607-5127
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209011418
IL
Other
Enumeration date
04/07/2014
Last updated
03/25/2026
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