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Individual

ZACHARY JAMES HOLM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PMHNP-C

Contact information

Practice address
4000 28TH AVE S, MOORHEAD, MN 56560-7926
(701) 234-2000
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074
(605) 328-9419

Taxonomy

Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
R50064
ND
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
13097
MN

Other

Enumeration date
07/07/2025
Last updated
08/05/2025
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