Holdiness, Heather Broom
Holdiness, Heather Broom is an individual health care provider with primary practice located at 903 Desoto Blvd , Hot Springs Village AR 71909-6100. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Acute Care, Physician Assistants & Advanced Practice Nursing Providers / Gerontology, Physician Assistants & Advanced Practice Nursing Providers / Adult Health. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is her primary health care specialty. Holdiness, Heather Broom can be contacted via phone (501) 922-6266.Contact Information
Primary practice address
903 Desoto Blvd
Hot Springs Village AR 71909-6100
Phone: (501) 922-6266
Fax: (501) 922-8122
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Acute Care | 363LA2100X | A004582 | Arkansas |
Physician Assistants & Advanced Practice Nursing Providers / Gerontology | 363LG0600X | A004582 | Arkansas |
Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X | A004582 | Arkansas |
Profile Details
NPI number | 1053744391 |
---|---|
LBN Legal business name | Holdiness, Heather Broom |
Credentials | Advanced Practice Registered Nurse (APRN) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 9th, 2013 |
Last updated | Apr 15th, 2020 - about 4 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1053744391 | NPPES |
Mississippi | MEDICAID | 06336908 | |
Mississippi | MEDICAID | 212780758 |
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