Doctor Name: | MRS. HEATHER BROOM HOLDINESS |
NPI Number: | 1053744391 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | APRN |
License Number: | AP0714 |
Business Practice Address: | 410 Ponce De Leon Dr Hot Springs Village, AR - 719098121 |
Business Phone Number: | 5019221700 |
Business Fax Number: | 5019220826 |
Mailing Address: | Po Box 21850, HOT SPRINGS |
State: | AR |
Postal Code: | 719031850 |
Phone Number: | 5019221700 |
Fax Number: | 5019220826 |
NPI Enumeration Date: | 08/09/2013 |
NPI Last Update Date: | 04/15/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LA2100X |
License Number: | AP0714 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | LA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Acute Care |
Taxonomy Definition: |