Holder, Karen

Holder, Karen is an individual health care provider with primary practice located at 2920 N 4Th St , Flagstaff AZ 86004-1816. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Holder, Karen can be contacted via phone (928) 213-6100.

Contact Information

Primary practice address
2920 N 4Th St Flagstaff AZ 86004-1816
Phone: (928) 213-6100
Fax: (928) 774-4808
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X RN036046 Arizona

Profile Details

NPI number 1831192913
LBN Legal business name Holder, Karen
Credentials FNPC
Entity Individual
Sole proprietor 1 No
Enumeration date May 23rd, 2005
Last updated Oct 22nd, 2013 - about 11 years 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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Identifiers

StateTypeNumberIssuer
All States NPI 1831192913 NPPES
Arizona MEDICAID 109109

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