Healthcare Provider Details

I. General information

NPI: 1104946516
Provider Name (Legal Business Name): DEBORAH HOLMAN RN, BSN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/30/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

110 HIDDEN VALLEY RD
MCMURRAY PA
15317-2685
US

IV. Provider business mailing address

110 HIDDEN VALLEY RD
MCMURRAY PA
15317-2685
US

V. Phone/Fax

Practice location:
  • Phone: 724-941-4070
  • Fax: 724-941-5083
Mailing address:
  • Phone: 724-941-4070
  • Fax: 724-941-5083

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WP0809X
TaxonomyAdult Psychiatric/Mental Health Registered Nurse
License NumberRN200341L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: