Provider Demographics
NPI:1962799700
Name:HOLTHOUSE, AMANDA SUE (DO)
Entity type:Individual
Prefix:DR
First Name:AMANDA
Middle Name:SUE
Last Name:HOLTHOUSE
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:1100 TRANCAS ST STE 209
Mailing Address - Street 2:
Mailing Address - City:NAPA
Mailing Address - State:CA
Mailing Address - Zip Code:94558-2909
Mailing Address - Country:US
Mailing Address - Phone:707-251-1850
Mailing Address - Fax:707-226-1502
Practice Address - Street 1:1100 TRANCAS ST STE 209
Practice Address - Street 2:
Practice Address - City:NAPA
Practice Address - State:CA
Practice Address - Zip Code:94558-2909
Practice Address - Country:US
Practice Address - Phone:707-251-1850
Practice Address - Fax:707-226-1502
Is Sole Proprietor?:No
Enumeration Date:2011-06-30
Last Update Date:2012-12-14
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CA20A11271207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology