MEDICARE: BRIDGET M HOLM NBHWC, CHES

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	171400000X	Health & Wellness Coach	A-3253351	NC

General Provider Information

NPI Number	:	1467307405
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRIDGET M HOLM NBHWC, CHES

Provider Business Mailing Address
First Line	:	200 MCKENZIE RIDGE DR APT 310
Second Line	:
City	:	CLAYTON
State	:	NC
Zip	:	27527-9465
Country	:	US
Telephone Number	:	984-989-2750
Fax Number	:

Provider Business Practice Location Address
First Line	:	200 MCKENZIE RIDGE DR APT 310
Second Line	:
City	:	CLAYTON
State	:	NC
Zip	:	27527-9465
Country	:	US
Telephone Number	:	984-989-2750
Fax Number	:

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

Provider Enumeration Date	:	03/04/2026
Last Update Date	:	03/04/2026

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