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NPI Code Detail

MEDICARE: BARBARA A HOLT CRNA

MEDICARE: BARBARA A HOLT 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 Anesthetist41662MO

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1447256649
Entity Type Code : Individual
Provider Name (Legal Business Name) : BARBARA A HOLT CRNA
Provider Business Mailing Address
First Line : 400 S WOODS MILL RD
Second Line : STE 140
City : CHESTERFIELD
State : MO
Zip : 63017-3429
Country : US
Telephone Number : 314-485-1101
Fax Number :
Provider Business Practice Location Address
First Line : 300 1ST CAPITOL DR
Second Line :
City : SAINT CHARLES
State : MO
Zip : 63301-2844
Country : US
Telephone Number : 636-947-5000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/22/2005
Last Update Date : 12/29/2016

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