Holder, Kourtney
Holder, Kourtney is an individual health care provider with primary practice located at 910 Nw 16Th St Ste 101, Fruitland ID 83619. 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, Kourtney can be contacted via phone (208) 452-8000.Contact Information
Primary practice address
910 Nw 16Th St Ste 101
Fruitland ID 83619
Phone: (208) 452-8000
Fax: (208) 452-8055
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 53512 | Idaho |
Profile Details
| NPI number | 1447782529 |
|---|---|
| LBN Legal business name | Holder, Kourtney |
| Credentials | DNP, FNP-C |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 29th, 2017 |
| Last updated | Aug 7th, 2020 - about 5 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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