Individual
DYLAN L HOLCOMB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
2401 W UNIVERSITY AVE, MUNCIE, IN 47303-3428
(765) 747-3241
(765) 281-6567
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
28222582A
IN
363LF0000X
Family Nurse Practitioner
Primary
71010160A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000001402814
ANTHEM PTAN
IN
01
—
000001408897
ANTHEM PTAN
IN
05
—
300040558
—
IN
Enumeration date
07/10/2020
Last updated
02/11/2025
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