Michael Holtz, FNP-C

Michael served in the United States Air Force in the 1980s.

Michael graduated from Regents College in 1999 and started working as a Registered Nurse at Truman Medical Center in Kansas City. Mike worked in the ER and enjoyed the variety of patients and broad range of injuries/problems that presented before him. 

In 2014, Mike graduated from Walden University with his Master's of Science in Nursing, while working as a RN at Moberly Regional Medical Center in Moberly Missouri. He is a National Board Certified Family Nurse Practitioner with The American Academy of Nurse Practitioners. 

Mike first started working as a Nurse Practitioner at Chariton Valley Medical Clinic in Salisbury, Missouri in 2014. To this day, he is still collaborating with Dr. Terry Thrasher. 

During 2014, Mike and his wife, Paulette opened Advanced Medical Express Clinic. Mike is sees patients Tuesday-Saturday in Brookfield and Tuesday-Friday night in Chillicothe. 
 
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Vivian Hall, FNP-C

Vivian graduated from University of Missouri, Columbia with her Bachelors of Science in Nursing in 1979. 

In 1983, Vivian and her family moved back to Green City, and she started working at Sullivan County Memorial Hospital in Milan, Missouri.  From there she she took on the responsibilities of assistant administrator, director of nursing, and ICU staff nurse.

From 1984-1997,Vivian worked at Northeast Regional Medical Center, Kirksville, Missouri and strived at many roles. Vivian was ER Department Director of the Level III Trauma Center, ICU, TNC, Critical Care, House Supervisor, ACLS/PALS Instructor, CCRN Certification, Adair County EPC, and ER/ICU Staff Nurse.

In 2002, Vivian graduated from University of Missouri Columbia, with her Master's Degree in Nursing. From 2002-2015, she worked in various rural clinics treating a variety of patients with various problems. 

During August 2020, Advanced Medical Express Clinic welcomed Vivian onboard. Vivian sees patients Sunday and Monday in Brookfield and Tuesday (by appointment only) in Green City. Vivian is currently collaborating with Dr. Jerry Bruggeman.