Individual
ALLISON J HOLT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
520 S 7TH ST, VINCENNES, IN 47591-1038
(812) 885-3243
(812) 885-3915
Mailing address
520 S 7TH ST, VINCENNES, IN 47591-1038
(812) 885-3243
(812) 885-3915
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71007021A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000001079750
ANTHEM
IN
01
—
258190033
MEDICARE
IN
05
—
300002074
—
IN
Enumeration date
04/10/2017
Last updated
12/08/2017
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