Healthcare Provider Details

I. General information

NPI: 1437609963
Provider Name (Legal Business Name): WILLIAM HOLDEN
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/07/2016
Last Update Date: 07/21/2025
Certification Date: 07/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1802 6TH AVE S # NP5240
BIRMINGHAM AL
35233-1932
US

IV. Provider business mailing address

1802 6TH AVE S # NP5240
BIRMINGHAM AL
35233-1932
US

V. Phone/Fax

Practice location:
  • Phone: 205-934-4206
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License NumberC-APN.0103808-C-NP
License Number StateCO
# 2
Primary TaxonomyN
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License Number122375
License Number StateWV
# 3
Primary TaxonomyN
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License NumberAP61671228
License Number StateWA
# 4
Primary TaxonomyY
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License Number1-130679
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: