Doctor Name: | MRS. JOANNA MARIE HOLT |
NPI Number: | 1053436766 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | NP |
License Number: | R116246 |
Business Practice Address: | 7600 Carroll Ave Takoma Park, MD - 209126367 |
Business Phone Number: | 3018917600 |
Business Fax Number: | |
Mailing Address: | 19232 Treadway Rd, BROOKEVILLE |
State: | MD |
Postal Code: | 208332738 |
Phone Number: | 3015706021 |
Fax Number: | |
NPI Enumeration Date: | 03/20/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LA2100X |
License Number: | R116246 |
Healthcare Provider Taxonomy: (Secondary) | X |
State: | MD |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Acute Care |
Taxonomy Definition: |