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NPI Code Detail

MEDICARE: MS. ROBIN L HOLTMAN APRN, ANP

MEDICARE: MS. ROBIN L HOLTMAN APRN, ANP
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
1163W00000XRegistered Nurse041-282131IL
2363LA2200XAdult Health Nurse Practitioner209007580IL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1041-282131OTHERILLICENSE

General Provider Information

NPI Number : 1205078383
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. ROBIN L HOLTMAN APRN, ANP
Provider Business Mailing Address
First Line : 333 COMMERCE ST STE 700
Second Line :
City : NASHVILLE
State : TN
Zip : 37201-1835
Country : US
Telephone Number : 615-913-5086
Fax Number : 888-494-2588
Provider Business Practice Location Address
First Line : 220 N MAIN ST STE 500
Second Line :
City : GREENVILLE
State : SC
Zip : 29601-2129
Country : US
Telephone Number : 864-920-3665
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/03/2009
Last Update Date : 10/27/2017

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