Holmes, Roxanna

Holmes, Roxanna is an individual health care provider with primary practice located at 3377 Riverbend Dr Peacehealth Urgent Care, Springfield OR 97477-8803. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Holmes, Roxanna can be contacted via phone (541) 222-6005.

Contact Information

Primary practice address
3377 Riverbend Dr Peacehealth Urgent Care Springfield OR 97477-8803
Phone: (541) 222-6005
Fax: (541) 222-6029
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X NP 304 Idaho
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 200850115NP Oregon

Profile Details

NPI number 1174609598
LBN Legal business name Holmes, Roxanna
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 27th, 2006
Last updated Aug 12th, 2014 - about 10 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 1174609598 NPPES
Idaho MEDICAID 002662100

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