Individual
BETH R HOLDERBY ACRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
213 W. MAIN ST., CANTON, OK 73724
(580) 886-1400
(580) 297-9285
Mailing address
PO BOX 217, CANTON, OK 73724-0217
(580) 886-1400
(580) 297-9285
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
96390
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200529230A
—
OK
Enumeration date
02/25/2014
Last updated
04/15/2026
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