Provider Demographics
NPI:1427345339
Name:SPLETZER, HOLLY MARIE (FNP-C)
Entity type:Individual
Prefix:MRS
First Name:HOLLY
Middle Name:MARIE
Last Name:SPLETZER
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:MISS
Other - First Name:HOLLY
Other - Middle Name:MARIE
Other - Last Name:MIER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:15397 WI 32
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:WI
Mailing Address - Zip Code:54138
Mailing Address - Country:US
Mailing Address - Phone:715-276-6321
Mailing Address - Fax:
Practice Address - Street 1:15397 WI 32
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:WI
Practice Address - Zip Code:54138
Practice Address - Country:US
Practice Address - Phone:715-276-6321
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-06-30
Last Update Date:2023-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI150738-30363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily