Healthcare Provider Details

I. General information

NPI: 1205078383
Provider Name (Legal Business Name): ROBIN L HOLTMAN APRN, ANP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/03/2009
Last Update Date: 10/27/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

220 N MAIN ST STE 500
GREENVILLE SC
29601-2129
US

IV. Provider business mailing address

333 COMMERCE ST STE 700
NASHVILLE TN
37201-1835
US

V. Phone/Fax

Practice location:
  • Phone: 864-920-3665
  • Fax:
Mailing address:
  • Phone: 615-913-5086
  • Fax: 888-494-2588

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number041-282131
License Number StateIL
# 2
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number209007580
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: