Individual
MRS. DEANNA MOORE HOLTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
739 IRVING AVE STE 450, SYRACUSE, NY 13210-1663
(315) 470-7364
(315) 378-0828
Mailing address
1001 W FAYETTE ST STE 400, SYRACUSE, NY 13204-2866
(315) 937-3433
(315) 464-6238
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
288542-1
NY
363LF0000X
Family Nurse Practitioner
Primary
333728
NY
Other
Enumeration date
09/20/2006
Last updated
09/01/2021
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