Mrs Samantha Christine Holzhauer, LPN is a
Clinical Nurse Specialist - Gerontology based in Ballwin, Missouri. Mrs Samantha Christine Holzhauer is licensed to practice in Missouri (license number 2017030578) and her current practice location is
50 Meramec Trail Dr, Ballwin, Missouri. She can be reached at her office (for appointments etc.) via phone at
(636) 923-2396.
NPI number for Mrs Samantha Christine Holzhauer is 1962143164 and her current mailing address is 1177 Tahoe Pl, Pacific, Missouri. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1962143164.
Provider's Profile
| Full Name | Mrs Samantha Christine Holzhauer |
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| Gender | Female |
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| Speciality | Clinical Nurse Specialist - Gerontology |
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| Location | 50 Meramec Trail Dr, Ballwin, Missouri |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1962143164
- Provider Enumeration Date: 04/05/2022
- Last Update Date: 04/05/2022
Medical Identifiers
Medical identifiers for Mrs Samantha Christine Holzhauer such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1962143164 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 364SG0600X | Clinical Nurse Specialist - Gerontology | 2017030578 (Missouri) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Samantha Christine Holzhauer is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mrs Samantha Christine Holzhauer, LPN
1177 Tahoe Pl,
Pacific, MO 63069-3658
Ph: (314) 208-1137 | Mrs Samantha Christine Holzhauer, LPN
50 Meramec Trail Dr,
Ballwin, MO 63021-3303
Ph: (636) 923-2396 |
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