Holstine, Vanessa R
Holstine, Vanessa R is an individual health care provider with primary practice located at 3525 E Louise Dr Ste 500 , Meridian ID 83642-6305. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Holstine, Vanessa R can be contacted via phone (208) 706-7050.Contact Information
Primary practice address
3525 E Louise Dr Ste 500
Meridian ID 83642-6305
Phone: (208) 706-7050
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | NP493A | Idaho |
Profile Details
| NPI number | 1043346901 |
|---|---|
| LBN Legal business name | Holstine, Vanessa R |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 26th, 2007 |
| Last updated | Sep 28th, 2022 - about 2 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 | 1043346901 | NPPES |
| Idaho | MEDICAID | 805914000 |
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