Individual
MICHELLE L HOLMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, CNP
Contact information
Practice address
1502 LONDON RD STE 102, ESSENTIA HEALTH LAKEWALK CLINIC, DULUTH, MN 55812-1787
(218) 576-0100
(218) 576-0126
Mailing address
1502 LONDON RD STE 102, ESSENTIA HEALTH LAKEWALK CLINIC, DULUTH, MN 55812-1787
(218) 576-0100
(218) 576-0126
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R131623-0
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1083814958
—
MI
05
—
1083814958
—
MN
05
—
1083814958
—
WI
Enumeration date
07/19/2007
Last updated
12/20/2011
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