Individual
VIRGINIA HOLMGREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
808 CLEVELAND BLVD, CALDWELL, ID 83605-4168
(208) 459-1025
(208) 466-5359
Mailing address
PO BOX 9, NAMPA, ID 83653-0009
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4971965
ID
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
4971965
ID
Other
Enumeration date
08/04/2025
Last updated
08/04/2025
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