Doctor Name: | ELIZABETH M. HOLMES |
NPI Number: | 1013009273 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | ARNP |
License Number: | AP30007181 |
Business Practice Address: | 721 S 1st St Mount Vernon, WA - 982733812 |
Business Phone Number: | 3607089741 |
Business Fax Number: | 8017809741 |
Mailing Address: | Po Box 1627, MOUNT VERNON |
State: | WA |
Postal Code: | 98273 |
Phone Number: | 3607089741 |
Fax Number: | 8017809741 |
NPI Enumeration Date: | 09/28/2006 |
NPI Last Update Date: | 01/27/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LP0808X |
License Number: | AP30007181 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Psych/Mental Health |
Taxonomy Definition: |