Provider Demographics
NPI:1528209319
Name:STRASSNER, HOLLY M (RNP)
Entity Type:Individual
Prefix:MRS
First Name:HOLLY
Middle Name:M
Last Name:STRASSNER
Suffix:
Gender:F
Credentials:RNP
Other - Prefix:MS
Other - First Name:HOLLY
Other - Middle Name:MICHELLE
Other - Last Name:WATKINS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:RN,BSN,CNOR,RNFA,CNP
Mailing Address - Street 1:263 FAIRWAY GREEN DR
Mailing Address - Street 2:
Mailing Address - City:O FALLON
Mailing Address - State:MO
Mailing Address - Zip Code:63368-4271
Mailing Address - Country:US
Mailing Address - Phone:636-542-1199
Mailing Address - Fax:636-594-2022
Practice Address - Street 1:263 FAIRWAY GREEN DR
Practice Address - Street 2:
Practice Address - City:O FALLON
Practice Address - State:MO
Practice Address - Zip Code:63368-4271
Practice Address - Country:US
Practice Address - Phone:636-542-1199
Practice Address - Fax:636-594-2022
Is Sole Proprietor?:No
Enumeration Date:2009-03-09
Last Update Date:2023-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MOAG02170163163WM0705X, 363LG0600X, 363L00000X
MO143433163WR0006X
MO02170163363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No163WM0705XNursing Service ProvidersRegistered NurseMedical-Surgical
No163WR0006XNursing Service ProvidersRegistered NurseRegistered Nurse First Assistant
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology