Individual
BETTY J HOLMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
640 S STATE ST, BAYHEALTH MEDICAL CENTER/DEPT. OF ANESTHESIA, DOVER, DE 19901-3530
(302) 744-7093
(302) 735-3239
Mailing address
18577 PETTYJOHN RD, GEORGETOWN, DE 19947-5205
(302) 542-4048
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
L60A00354
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR019630
—
DE
Enumeration date
02/24/2006
Last updated
12/01/2016
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