Holtman, Deanna Moore

Holtman, Deanna Moore is an individual health care provider with primary practice located at 739 Irving Ave Ste 450 , Syracuse NY 13210-1663. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / General Practice, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Holtman, Deanna Moore can be contacted via phone (315) 470-7364.

Contact Information

Primary practice address
739 Irving Ave Ste 450 Syracuse NY 13210-1663
Fax: (315) 378-0828
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / General Practice 163WG0000X 288542-1 New York
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 333728 New York

Profile Details

NPI number 1619075959
LBN Legal business name Holtman, Deanna Moore
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 2006
Last updated Sep 1st, 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.

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