Individual
LA CARLA DENISE HOLMES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
110 SALINA ST, ROCHESTER, NY 14619-1014
(585) 235-8556
Mailing address
233 LAGRANGE AVE, ROCHESTER, NY 14613-1562
(585) 752-3127
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
545922
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
403245
NY
Other
Enumeration date
07/19/2007
Last updated
05/31/2022
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