Fahrenholtz, Haydan

Fahrenholtz, Haydan is an individual health care provider with primary practice located at 25 Crescent View Ln Unit 2 , Highland IL 62249-5973. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Fahrenholtz, Haydan can be contacted via phone (618) 731-1354.

Contact Information

Primary practice address
25 Crescent View Ln Unit 2 Highland IL 62249-5973
Phone: (618) 731-1354
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 2025032560 Missouri

Profile Details

NPI number 1578434106
LBN Legal business name Fahrenholtz, Haydan
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 16th, 2025
Last updated Aug 31st, 2026 - about 2 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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