Holt, Diana E

Holt, Diana E is an individual health care provider with primary practice located at 107 E Oak Ave 101, Flagstaff AZ 86001-1818. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Holt, Diana E can be contacted via phone (928) 913-8808.

Contact Information

Primary practice address
107 E Oak Ave 101 Flagstaff AZ 86001-1818
Phone: (928) 913-8808
Fax: (928) 913-8875
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X RN083858 Arizona

Profile Details

NPI number 1518023167
LBN Legal business name Holt, Diana E
Credentials Pediatric Nurse Practitioner (PNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 28th, 2006
Last updated Jul 9th, 2007 - about 18 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 1518023167 NPPES
Arizona MEDICAID 198970

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