Individual
MARY BRANTLEY HOLMES
Active
Individual
MARY BRANTLEY HOLMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
WHNP
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
0024164678
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0017137293
LICENSED NURSE PRACTITIONER- AUTHORIZATION TO PRESCRIBE
VA
01
—
0024164678
LICENSE TO PRACTICE AS A LISENSED NURSE PRACTITIONER- WOMEN'S HEALTH
VA
Enumeration date
05/30/2013
Last updated
10/23/2024
Update your record
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