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NPI Code Detail

MEDICARE: MS. CHELSEA M HOLTMAN NP

MEDICARE: MS. CHELSEA M HOLTMAN NP
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
1363LF0000XFamily Nurse Practitioner349725NY

General Provider Information

NPI Number : 1831829845
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. CHELSEA M HOLTMAN NP
Provider Business Mailing Address
First Line : 7355 VAN BUREN RD
Second Line :
City : BALDWINSVILLE
State : NY
Zip : 13027-9078
Country : US
Telephone Number : 315-720-5276
Fax Number :
Provider Business Practice Location Address
First Line : 195 INTREPID LN
Second Line :
City : SYRACUSE
State : NY
Zip : 13205-2544
Country : US
Telephone Number : 315-469-8700
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/13/2022
Last Update Date : 06/13/2022

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