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Individual

MARY KATHERINE HOLSTEIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSN-AGACNP

Contact information

Practice address
4445 S EASTERN AVE STE 1, LAS VEGAS, NV 89119-7851
(702) 410-5319
(702) 442-1494
Mailing address
4445 S EASTERN AVE STE 1, LAS VEGAS, NV 89119-7851
(702) 410-5319
(702) 442-1494

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
1048013
TX
363LA2100X
Acute Care Nurse Practitioner
Primary
839696
NV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1164196986
NV
Enumeration date
08/04/2021
Last updated
01/19/2023
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