Individual
DIANA E HOLT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP
Contact information
Practice address
5130 N US HIGHWAY 89, FLAGSTAFF, AZ 86004-2837
(928) 773-2054
(928) 773-2286
Mailing address
107 E OAK AVE, 101, FLAGSTAFF, AZ 86001-1818
(928) 913-8808
(928) 913-8875
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
RN083858
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
198970
—
AZ
Enumeration date
12/28/2006
Last updated
02/28/2025
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