Individual
LINDA S HOLCOMB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, FNP-C
Contact information
Practice address
615 FULMER RD, MISHAWAKA, IN 46544-6911
(574) 252-3085
(574) 255-4342
Mailing address
615 FULMER RD, MISHAWAKA, IN 46544-6911
(574) 252-3085
(574) 255-4342
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71002673A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200332960
—
IN
01
—
236030
MEDICARE LEGACY
—
Enumeration date
06/17/2008
Last updated
03/09/2012
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