Individual
DIANE CAROL EMERSON-HOLM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1555 N 17TH AVE, GREELEY, CO 80631-9117
(970) 304-6420
Mailing address
332 43RD AVENUE CT, GREELEY, CO 80634-1016
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
112624
CO
Other
Enumeration date
06/29/2007
Last updated
07/08/2007
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