Tara M. Holder in Beaumont - Nurse Practitioner
Tara M. Holder - NPI 1023160330
Tara M. Holder is a Nurse Practitioner in Beaumont, Texas. Tara M. Holder practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Tara M. Holder is 1023160330. The last update date is 2015-11-23.
Tara M. Holder's current location address is 755 N 11th Street, Beaumont, Texas. You can contact this provider via phone number 4098982994 and fax number 4098995542. The mailing address for Tara M. Holder is 755 N 11th Street, Beaumont, Texas. To know further, please read the information below!
Provider Profile Detail
Provider Name | Tara M. Holder |
---|---|
Address | 755 N 11th Street, Beaumont, Texas |
Phone Number | 4098982994 |
Fax Number | 4098995542 |
Sole Proprietor | Y |
Credentials | APRN, ENP, |
NPI Number Detail
NPI Number | 1023160330 |
---|---|
Provider Enumeration Date | 2007-01-17 |
Last Updated Date | 2015-11-23 |
Provider Mailing Address Detail
Address | 755 N 11th Street |
---|---|
City | Beaumont |
State | Texas (TX) |
Post Code | 777021522 |
Phone Number | 4098982994 |
Fax Number | 4098995542 |
Provider's Primary Taxonomy Detail
Speciality | Nurse Practitioner |
---|---|
Taxonomy | 363L00000X |
Licence No | 660917 |
Definition: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certifi |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
7702695 | TX | AETNA | |
1658650-01 | TX | -- | |
P00141387 | TX | RAILROAD MEDICARE | |
8N6091 | TX | BLUE CROSS BLUE SHIELD |
Post Comment/ Review Below
What is the Tara M. Holder's 1023160330?
The Tara M. Holder's NPI (National Provider Identifier) Number is 1023160330. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Tara M. Holder is physically located?
The Tara M. Holder is physically situated at the following address: 755 N 11Th Street, Beaumont, TX, 777021522.
What is Tara M. Holder's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Tara M. Holder is Nurse Practitioner, and the taxonomy classification code that categorizes this area of expertise is 363L00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1023160330 to Tara M. Holder?
The Tara M. Holder received its 1023160330 assignment from the Centers for Medicare & Medicaid Services on 2007-01-17.
When was the information regarding Tara M. Holder, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Tara M. Holder, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2015-11-23.
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