Individual
DWIGHT TYLER HOLT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-BC
Contact information
Practice address
1984 DILLONS FORK RD, FIELDALE, VA 24089-3129
(276) 229-5685
Mailing address
3416 VIRGINIA AVE STE 2, COLLINSVILLE, VA 24078-2240
(276) 229-5685
(336) 718-6518
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
0024169113
VA
363LF0000X
Family Nurse Practitioner
Primary
0024169113
VA
Other
Enumeration date
10/09/2008
Last updated
12/13/2023
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