Individual
DEBORAH LEES HOLTORF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP
Contact information
Practice address
1 JOSLIN PL, BOSTON, MA 02215-5306
(617) 732-2603
(617) 732-2451
Mailing address
387 OLD BAY RD, BOLTON, MA 01740-1253
(978) 779-5337
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
107031
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0317101
—
MA
01
—
NP3968
BLUECROSS/BLUESHIELD
MA
Enumeration date
07/21/2006
Last updated
07/08/2007
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