Individual
MRS. CHARLEEN THERESE HOLDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11520 217TH ST, CAMBRIA HEIGHTS, CAMBRIA HEIGHTS, NY 11411-1116
(347) 420-4109
Mailing address
11520 217TH ST, CAMBRIA HEIGHTS, CAMBRIA HEIGHTS, NY 11411-1116
(347) 420-4109
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F351140
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
664418
RN LICENSE
NY
Enumeration date
10/15/2012
Last updated
09/23/2025
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