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NPI Code Detail

MEDICARE: MR. MICHAEL C HOLMES DNAP, CRNA

MEDICARE:  MR. MICHAEL C HOLMES  DNAP, CRNA
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
1367500000XCertified Registered Nurse AnesthetistRN331273LPA

General Provider Information

NPI Number : 1356320097
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. MICHAEL C HOLMES DNAP, CRNA
Provider Business Mailing Address
First Line : 1 HOSPITAL WAY
Second Line :
City : BUTLER
State : PA
Zip : 16001-4670
Country : US
Telephone Number : 724-283-6666
Fax Number :
Provider Business Practice Location Address
First Line : 1 HOSPITAL WAY
Second Line :
City : BUTLER
State : PA
Zip : 16001-4670
Country : US
Telephone Number : 724-283-6666
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/11/2006
Last Update Date : 03/12/2024

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