Individual
ANNA K HOLCOMB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
707 N 190TH PLZ, ELKHORN, NE 68022
(402) 815-6428
(402) 815-1565
Mailing address
PO BOX 2797, OMAHA, NE 68103-2797
(402) 354-4230
(402) 354-6171
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
112885
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025866100
—
NE
05
—
1265087415
—
IA
Enumeration date
08/05/2019
Last updated
11/22/2019
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