Holmes, Mary Brantley
Holmes, Mary Brantley is an individual health care provider with primary practice located at 5821 Staples Mill Rd , Richmond VA 23228-5427. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Primary Care, which is considered as her primary health care specialty. Holmes, Mary Brantley can be contacted via phone (804) 264-0966.Contact Information
Primary practice address
5821 Staples Mill Rd
Richmond VA 23228-5427
Phone: (804) 264-0966
Fax: (804) 264-1029
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Primary Care | 363LP2300X | 0024164678 | Virginia |
Profile Details
| NPI number | 1588001556 |
|---|---|
| LBN Legal business name | Holmes, Mary Brantley |
| Credentials | Women's Health Nurse Practitioner (WHNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 30th, 2013 |
| Last updated | Oct 28th, 2021 - about 3 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 | 1588001556 | NPPES |
| Virginia | Other | 0024164678 | LICENSE TO PRACTICE AS A LISENSED NURSE PRACTITIONER- WOMEN'S HEALTH |
| Virginia | Other | 0017137293 | LICENSE TO PRACTICE AS A LISENSED NURSE PRACTITIONER- WOMEN'S HEALTH |
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