# T.W. HOLST GROUP LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1740033430
- **Authorized official:** TYLER WILLIAM HOLST RN FIRST ASSISTANT (OWNER)
- **Authorized official phone:** (503) 931-7902

## Contact information

- **Practice address:** 4949 W LA PUENTA AVE, LAVEEN, AZ 85339-3176
- **Practice address phone:** (503) 931-7902
- **Mailing address:** 4949 W LA PUENTA AVE, LAVEEN, AZ 85339-3176

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163WR0006X | Registered Nurse First Assistant | — | NULL | Yes |
| 163WR0006X | Registered Nurse First Assistant | — | — | Yes |

## Other

- **Enumeration date:** 04/10/2024
- **Last updated:** 06/02/2024