Individual
MRS. HEATHER BROOM HOLDINESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
903 DESOTO BLVD, HOT SPRINGS VILLAGE, AR 71909-6100
(501) 922-6266
(501) 922-8122
Mailing address
8333 N DAVIS HWY, PENSACOLA, FL 32514-6050
(850) 474-8385
(850) 969-2904
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
A004582
AR
363LA2200X
Adult Health Nurse Practitioner
Primary
A004582
AR
363LG0600X
Gerontology Nurse Practitioner
A004582
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06336908
—
MS
05
—
212780758
—
AR
Enumeration date
08/09/2013
Last updated
04/15/2020
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