Doctor Name: | ANNA HOLT |
NPI Number: | 1649549924 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | N.P. |
License Number: | 1416 |
Business Practice Address: | 41-1347 Kalanianaole Hwy Ste A Waimanalo, HI - 967951247 |
Business Phone Number: | 8082597948 |
Business Fax Number: | |
Mailing Address: | 41-1347 Kalanianaole Hwy Ste A, WAIMANALO |
State: | HI |
Postal Code: | 967951247 |
Phone Number: | 8082597948 |
Fax Number: | |
NPI Enumeration Date: | 12/15/2011 |
NPI Last Update Date: | 01/17/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 1416 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | HI |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |