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NPI Code Detail

MEDICARE: HOLLY C FIX CPM, LM

MEDICARE: HOLLY C FIX CPM, LM
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1374J00000XDoula
2176B00000XMidwife

General Provider Information

NPI Number : 1033465117
Entity Type Code : Individual
Provider Name (Legal Business Name) : HOLLY C FIX CPM, LM
Provider Business Mailing Address
First Line : 3217 CAVELL LANE
Second Line :
City : ST LOUIS PARK
State : MN
Zip : 55426
Country : US
Telephone Number : 612-244-9928
Fax Number :
Provider Business Practice Location Address
First Line : 1901 44TH AVE N
Second Line :
City : MINNEAPOLIS
State : MN
Zip : 55412-1209
Country : US
Telephone Number : 612-338-2784
Fax Number : 651-383-4135
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/26/2012
Last Update Date : 07/21/2022

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