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NPI 1508820473 · live from the CMS NPI Registry

Susan J Holtkamp, CPNP

Clinical Nurse Specialist, Pediatrics in Fort Madison, IA. National Provider Identifier 1508820473, active.

NPI record

NPI1508820473 Type 1 · individual
StatusActive
Primary specialtyClinical Nurse Specialist, Pediatrics 364SP0200X
Practice location5409 Avenue O, Fort Madison, IA 52627
Practice phone319-376-2134
EnumeratedApril 17, 2006
Last updatedAugust 13, 2024
Sole proprietorNo
Other namesSusan Weinrich

Taxonomies and licenses

TaxonomyCodeLicense
Nurse Practitioner, Pediatrics363LP0200XC134848 (IA)
Clinical Nurse Specialist, Pediatrics primary364SP0200XC134848 (IA)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.