MEDICARE: MRS. LAURA MELISSA HOLMES CNA, MA

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
1	376K00000X	Nurse's Aide	704277	CO

General Provider Information

NPI Number	:	1437491479
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. LAURA MELISSA HOLMES CNA, MA

Provider Business Mailing Address
First Line	:	26900 E COLFAX AVE
Second Line	:	LOT 255
City	:	AURORA
State	:	CO
Zip	:	80018-2300
Country	:	US
Telephone Number	:	720-989-0151
Fax Number	:

Provider Business Practice Location Address
First Line	:	26900 E COLFAX AVE
Second Line	:	LOT 255
City	:	AURORA
State	:	CO
Zip	:	80018-2300
Country	:	US
Telephone Number	:	720-989-0151
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/16/2013
Last Update Date	:	03/16/2013

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