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Individual

ANGELA M HOLT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
1617 N FRONT ST, HARRISBURG, PA 17102-2414
(717) 236-4682
(717) 236-2423
Mailing address
421 MANOR AVE, CARNEYS POINT, NJ 08069-2920
(856) 535-7142

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
26NR00895000
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1036439920001
PA
01
26NJ00895000
NJ BON
NJ
Enumeration date
01/24/2019
Last updated
11/08/2019
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