| Doctor Name: | SUZANNE M HOLM |
| NPI Number: | 1326089988 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | NP |
| License Number: | ARNP2028832 |
| Business Practice Address: | 745 Russell St. Craig, CO - 816252019 |
| Business Phone Number: | 9708248233 |
| Business Fax Number: | 9708242548 |
| Mailing Address: | 745 Russell St., CRAIG |
| State: | CO |
| Postal Code: | 816252019 |
| Phone Number: | 9708248233 |
| Fax Number: | 9708242548 |
| NPI Enumeration Date: | 06/08/2006 |
| NPI Last Update Date: | 12/07/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LA2200X |
| License Number: | ARNP2028832 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | FL |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Adult Health |
| Taxonomy Definition: | |