Provider Demographics
NPI:1598953820
Name:POHLMAN, HOLLY M (APNP)
Entity Type:Individual
Prefix:
First Name:HOLLY
Middle Name:M
Last Name:POHLMAN
Suffix:
Gender:F
Credentials:APNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:N1480 STONE BLUFF LN
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:WI
Mailing Address - Zip Code:54942-8752
Mailing Address - Country:US
Mailing Address - Phone:920-378-9936
Mailing Address - Fax:
Practice Address - Street 1:460 S 8TH ST
Practice Address - Street 2:
Practice Address - City:HILBERT
Practice Address - State:WI
Practice Address - Zip Code:54129-9402
Practice Address - Country:US
Practice Address - Phone:888-893-6141
Practice Address - Fax:920-853-5198
Is Sole Proprietor?:No
Enumeration Date:2007-10-11
Last Update Date:2021-10-11
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
WI3252-33363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner