Holt, Pamela S

Holt, Pamela S is an individual health care provider with primary practice located at 1906 Belleview Ave Se , Roanoke VA 24014-1838. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Holt, Pamela S can be contacted via phone (540) 981-8574.

Contact Information

Primary practice address
1906 Belleview Ave Se Roanoke VA 24014-1838
Fax: (540) 983-1133
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 0024167490 Virginia

Profile Details

NPI number 1194917500
LBN Legal business name Holt, Pamela S
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 10th, 2007
Last updated May 7th, 2008 - about 16 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 1194917500 NPPES
Virginia Other 0024167490 LICENSE
Virginia MEDICAID 1194917500 LICENSE

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