Individual
ROXANNA HOLMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
3377 RIVERBEND DR, PEACEHEALTH URGENT CARE, SPRINGFIELD, OR 97477-8803
(541) 222-6005
(541) 222-6029
Mailing address
3377 RIVERBEND DR, PEACEHEALTH URGENT CARE, SPRINGFIELD, OR 97477-8803
(541) 222-6005
(541) 222-6029
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
NP 304
ID
363LF0000X
Family Nurse Practitioner
Primary
200850115NP
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002662100
—
ID
Enumeration date
10/27/2006
Last updated
08/12/2014
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