Individual
STEPHEN B HOLDERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
1 MEDICAL CENTER DR, DHMC DEPARTMENT OF CARDIOLOGY, LEBANON, NH 03756-1000
(603) 650-7837
Mailing address
1 MEDICAL CENTER DR, DHMC DEPARTMENT OF CARDIOLOGY, LEBANON, NH 03756-1000
(603) 650-7837
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
900375
NC
363LA2200X
Adult Health Nurse Practitioner
Primary
052864-23
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1012989
—
VT
05
—
30344623
—
NH
Enumeration date
07/11/2005
Last updated
11/21/2011
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