Basic Information
| Provider Information | |||||||||
| NPI: | 1598953820 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | POHLMAN | ||||||||
| FirstName: | HOLLY | ||||||||
| MiddleName: | M | ||||||||
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| Credential: | APNP | ||||||||
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| Mailing Information | |||||||||
| Address1: | N1480 STONE BLUFF LN | ||||||||
| Address2: | |||||||||
| City: | GREENVILLE | ||||||||
| State: | WI | ||||||||
| PostalCode: | 549428752 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9203789936 | ||||||||
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| Practice Location | |||||||||
| Address1: | 460 S 8TH ST | ||||||||
| Address2: | |||||||||
| City: | HILBERT | ||||||||
| State: | WI | ||||||||
| PostalCode: | 541299402 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8888936141 | ||||||||
| FaxNumber: | 9208535198 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 10/11/2007 | ||||||||
| LastUpdateDate: | 10/11/2021 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 10/11/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363L00000X | 3252-33 | WI | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner |
No ID Information.