Doctor Name: | CHRISTINE D HOLTZ |
NPI Number: | 1093146540 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CRNP |
License Number: | SP013518 |
Business Practice Address: | 2030 Thistle Hill Dr Suite 200 Spring Grove, PA - 173621159 |
Business Phone Number: | 7172256556 |
Business Fax Number: | |
Mailing Address: | 3489 Smoketown Rd, SPRING GROVE |
State: | PA |
Postal Code: | 173628317 |
Phone Number: | 7174655437 |
Fax Number: | |
NPI Enumeration Date: | 12/10/2013 |
NPI Last Update Date: | 12/10/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LA2200X |
License Number: | SP013518 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Adult Health |
Taxonomy Definition: |