Individual
MRS. DONNA E HOLT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
5344 SACANDAGA RD, GALWAY, NY 12074-2422
(518) 882-6955
Mailing address
5344 SACANDAGA RD, GALWAY, NY 12074-2422
(518) 882-6955
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
0454592303
NH
363LF0000X
Family Nurse Practitioner
Primary
331054
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30340114
—
NH
Enumeration date
07/28/2006
Last updated
08/03/2021
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