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Stephanie Jo Holt, NP

Nurse Practitioner in Portage, WI. Individual provider (NPI-1).

NPI number1164047015
StatusActive
Last updated in NPPESJun 4, 2024

Details

NPI
1164047015
Entity type
Individual (NPI-1)
Name
Stephanie Jo Holt
Credential
NP
Sex
Female
Sole proprietor
No
Enumeration date
Jun 16, 2020
Certification date
Jun 4, 2024
Last updated
Jun 4, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363L00000X Nurse Practitioner10273-33WIYes

Practice location

2817 New Pinery Rd
Portage, WI 53901-9240

Phone 608-742-4131

Mailing address

7974 Uw Health Ct
Middleton, WI 53562-5531

Other practice locations

600 Highland Ave
Madison, WI 53792-9240

Phone 608-261-1956 · Fax 608-263-3368

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