Individual
DAVID HOLMES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PMHNP
Contact information
Practice address
279 SUMMIT DR, WATERFORD, MI 48328-3364
(248) 745-4900
Mailing address
3621 S STATE ST, ANN ARBOR, MI 48108-1633
(734) 647-5299
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
4704297545
MI
363L00000X
Nurse Practitioner
Primary
4704297545
MI
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
4704297545
MI
Other
Enumeration date
08/14/2017
Last updated
08/26/2024
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