Doctor Name: | MS. DORENE K. HOLT |
NPI Number: | 1336135227 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RN, BC |
License Number: | RN197762 |
Business Practice Address: | 4881 Sugar Maple Dr 88mdos/sgocp Wpafb, OH - 454335529 |
Business Phone Number: | 9375224732 |
Business Fax Number: | 9376561301 |
Mailing Address: | 4390 S Dayton Brandt Rd, NEW CARLISLE |
State: | OH |
Postal Code: | 453449698 |
Phone Number: | 9378459712 |
Fax Number: | 9378459712 |
NPI Enumeration Date: | 09/26/2005 |
NPI Last Update Date: | 08/28/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WC1500X |
License Number: | RN197762 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | OH |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Community Health |
Taxonomy Definition: |