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Individual

BRIAN DAVID HOLT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
121 W 2ND AVE, LATROBE, PA 15650-1068
(724) 537-1230
Mailing address
PO BOX 229, LATROBE, PA 15650-0229
(201) 804-2800
(201) 804-8883

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN539685
PA
367500000X
Certified Registered Nurse Anesthetist
Primary
RN539685
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
RN539685
AANA 083587
PA
Enumeration date
10/15/2009
Last updated
06/28/2011
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