Renee Kathleen Holley in Fort Wayne - Family
Renee Kathleen Holley - NPI 1932383254
Renee Kathleen Holley is a Family in Fort Wayne, Indiana. Renee Kathleen Holley practices all healthcare services and medical treatments related to Family. The NPI Number for Renee Kathleen Holley is 1932383254. The last update date is 2012-03-14.
Renee Kathleen Holley's current location address is 7222 Engle Road, Fort Wayne, Indiana. You can contact this provider via phone number 2604325005 and fax number 2604326003. The mailing address for Renee Kathleen Holley is 7222 Engle Road, Fort Wayne, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Renee Kathleen Holley |
|---|---|
| Address | 7222 Engle Road, Fort Wayne, Indiana |
| Phone Number | 2604325005 |
| Fax Number | 2604326003 |
| Sole Proprietor | N |
| Credentials | NP-C |
NPI Number Detail
| NPI Number | 1932383254 |
|---|---|
| Provider Enumeration Date | 2007-12-21 |
| Last Updated Date | 2012-03-14 |
Provider Mailing Address Detail
| Address | 7222 Engle Road |
|---|---|
| City | Fort Wayne |
| State | Indiana (IN) |
| Post Code | 468042222 |
| Phone Number | 2604325005 |
| Fax Number | 2604326003 |
Provider's Primary Taxonomy Detail
| Speciality | Family |
|---|---|
| Taxonomy | 363Lf0000X |
| Licence No | 71002132A |
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Definition: An advanced practice registered nurse expert in primary healthcare for patients of all ages. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 20088850 | IN | -- | |
| P00689114 | RAILROAD MEDICARE |
Post Comment/ Review Below
What is the Renee Kathleen Holley's 1932383254?
The Renee Kathleen Holley's NPI (National Provider Identifier) Number is 1932383254. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Renee Kathleen Holley's physical address?
The Renee Kathleen Holley is physically located at 7222 Engle Road, in the city of Fort Wayne, IN, with the postal code 468042222.
What is Renee Kathleen Holley's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Renee Kathleen Holley is Family, and the taxonomy code that categorizes this field of expertise is 363Lf0000X.
On what date was the 1932383254 assigned to Renee Kathleen Holley?
The Renee Kathleen Holley was issued its 1932383254 on 2007-12-21, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the Renee Kathleen Holley's information last updated?
The Renee Kathleen Holley's information was last updated on 2012-03-14.