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Individual

SUSAN HOLT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNP

Contact information

Practice address
40 BERKSHIRE CT, WYOMISSING, PA 19610-1224
(610) 374-7400
(610) 374-1641
Mailing address
40 BERKSHIRE CT, WYOMISSING, PA 19610-1224
(610) 374-7400
(610) 374-1641

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
UP004922D
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
UP004922D
NURSING LICENSE
PA
Enumeration date
07/17/2006
Last updated
07/08/2007
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