Individual
ANDREA HOLZMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
711 W 40TH ST STE 218, BALTIMORE, MD 21211-2108
(818) 600-1472
Mailing address
711 W 40TH ST, STE 218, BALTIMORE, MD 21211-2108
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
95006862
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
95006862
NURSE PRACTITIONER
CA
Enumeration date
07/06/2017
Last updated
03/16/2021
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