Bonny J Holm in North Pole - Licensed Practical Nurse

Bonny J Holm - NPI 1043336183

Bonny J Holm is a Licensed Practical Nurse in North Pole, Alaska. Bonny J Holm practices all healthcare services and medical treatments related to Licensed Practical Nurse. The NPI Number for Bonny J Holm is 1043336183. The last update date is 2007-07-08.

Bonny J Holm's current location address is 167 S Santa Claus Ln, North Pole, Alaska. You can contact this provider via phone number 9074888555 and fax number 9074888556. The mailing address for Bonny J Holm is 167 S Santa Claus Ln, North Pole, Alaska. To know further, please read the information below!

Provider Profile Detail

Provider Name Bonny J Holm
Address 167 S Santa Claus Ln, North Pole, Alaska
Phone Number 9074888555
Fax Number 9074888556
Sole Proprietor Y
Credentials LPN

NPI Number Detail

NPI Number 1043336183
Provider Enumeration Date 2007-03-21
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 167 S Santa Claus Ln
City North Pole
State Alaska (AK)
Post Code 997057702
Phone Number 9074888555
Fax Number 9074888556

Provider's Primary Taxonomy Detail

Speciality Licensed Practical Nurse
Taxonomy 164W00000X
Licence No 3692
Definition:
An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job r

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FAQs about Bonny J Holm

What is the unique 10-digit identification code issued to Bonny J Holm by the Centers for Medicare & Medicaid Services?

The Bonny J Holm has been assigned the NPI (National Provider Identifier) 1043336183 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Can you provide the Bonny J Holm's physical address?

The Bonny J Holm is physically located at 167 S Santa Claus Ln, in the city of North Pole, AK, with the postal code 997057702.

What is Bonny J Holm's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Bonny J Holm's specialized field of practice is Licensed Practical Nurse, and the corresponding taxonomy code that categorizes this area of specialization is 164W00000X.

On what date did the Bonny J Holm receive the assignment of its 1043336183 from the Centers for Medicare & Medicaid Services?

The Bonny J Holm was issued its 1043336183 by the Centers for Medicare & Medicaid Services on 2007-03-21.

When was the Bonny J Holm's information last updated?

The Bonny J Holm's information was last updated on 2007-07-08.

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