Mary R. Holt is a Pediatrics in Grand Rapids, Michigan. Mary R. Holt practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Mary R. Holt is 1073772984. The last update date is 2008-06-05.
Mary R. Holt's current location address is 935 Baxter St Se, Grand Rapids, Michigan. You can contact this provider via phone number 6164565310 and fax number 6164568640. The mailing address for Mary R. Holt is 935 Baxter St Se, Grand Rapids, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mary R. Holt |
|---|---|
| Address | 935 Baxter St Se, Grand Rapids, Michigan |
| Phone Number | 6164565310 |
| Fax Number | 6164568640 |
| Sole Proprietor | N |
| Credentials | CPNP |
NPI Number Detail
| NPI Number | 1073772984 |
|---|---|
| Provider Enumeration Date | 2008-06-05 |
| Last Updated Date | 2008-06-05 |
Provider Mailing Address Detail
| Address | 935 Baxter St Se |
|---|---|
| City | Grand Rapids |
| State | Michigan (MI) |
| Post Code | 495062599 |
| Phone Number | 6164565310 |
| Fax Number | 6164568640 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 363Lp0200X |
| Licence No | 4704109296 |
|
Definition: An advanced practice registered nurse expert in providing care to infants, children and adolescents. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2742857 | MI | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Mary R. Holt by the Centers for Medicare & Medicaid Services?
The Mary R. Holt has been assigned the NPI (National Provider Identifier) 1073772984 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Mary R. Holt's facilities are geographically located?
The facilities of Mary R. Holt are physically situated at the following location: 935 Baxter St Se, Grand Rapids, MI, 495062599.
What is Mary R. Holt'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 Mary R. Holt is Pediatrics, and the taxonomy classification code that categorizes this area of expertise is 363Lp0200X.
On what date did the Mary R. Holt receive the assignment of its 1073772984 from the Centers for Medicare & Medicaid Services?
The Mary R. Holt was issued its 1073772984 by the Centers for Medicare & Medicaid Services on 2008-06-05.
When was the Mary R. Holt's information last updated?
The Mary R. Holt's information was last updated on 2008-06-05.
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