Individual
MRS. DEBRA HOLMBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
161 FORT WAHSINGTON AVENUE, 7TH FLOOR, NEW YORK, NY 10032-1559
(212) 305-2454
Mailing address
4 KNOLLWOOD LANE, STOCKHOLM, NJ 07460
(973) 208-0089
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
F381746
NY
Other
Enumeration date
03/17/2008
Last updated
06/15/2012
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