Individual
AUDRA B HOLEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
421 CHESTNUT ST, EVANSVILLE, IN 47713-1227
(812) 450-7466
(812) 450-4665
Mailing address
1643 NW 136TH AVE, BLDG H STE 100 MSC 11607-0004, SUNRISE, FL 33323-2857
(865) 500-1346
(865) 560-7110
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
28197688A
IN
363L00000X
Nurse Practitioner
Primary
1029833
TX
363L00000X
Nurse Practitioner
71005756A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201319420
—
IN
Enumeration date
07/09/2015
Last updated
11/29/2021
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