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Contact Information

SUSAN J HOLTKAMP, CPNP
5409 AVENUE O
FORT MADISON, IA52627-9601
 Phone: 319-376-2134
 Fax: 319-376-2188
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

364SP0200X 89 Certified Clinical Nurse Specialist
 

Pediatrics

363LP0200X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for SUSAN J HOLTKAMP · (Female)

NPI # 1508820473
Status Active
Credentials CPNP (Certified Pediatric Nurse Practitioner)
Entity Individual
Enumeration date 04/17/2006
Last updated 08/13/2024 - More than a year ago
Sole proprietor 1 No
Identifiers
  • IA License # C134848
  • Other P00805205 RAILROAD MEDICARE
  • MO Other 185413 BLUE CHOICE
  • MO Other 185413 BLUE SHIELD
  • MO Other 739476 HEALTHLINK
  • MO Other 431560263 TRICARE WEST
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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