Individual
LINDA BLAKENEY HOLVERSTOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
781 E 142ND ST, BRONX, NY 10454-1723
(718) 993-1499
(718) 993-0647
Mailing address
781 E 142ND ST, BRONX, NY 10454-1723
(718) 993-1499
(718) 993-0647
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
420332
NY
Other
Enumeration date
01/03/2007
Last updated
07/08/2007
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