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Contact Information

PHILIP HOLTGRAVE, FNP
1993 WENTZVILLE PKWY
WENTZVILLE, MO63385-3424
 Phone: 314-687-2732
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Practitioner

363L00000X 50 Nurse Practitioner
 

Family Health

364SF0001X 89 Certified Clinical Nurse Specialist
Indicates primary specialty

NPI Profile & details for PHILIP HOLTGRAVE · (Male)

NPI Number 1689846693
Status Active
Credentials FNP (Family Nurse Practitioner)
Entity Individual
Enumeration date 03/31/2008
Last updated 10/22/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 209005604
  • MO License # 145838
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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