Individual
SUZANNE MARIE HOLMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
211 N EDDY ST, SOUTH BEND, IN 46617-3096
(574) 237-9331
(574) 237-9252
Mailing address
211 N EDDY ST, SOUTH BEND, IN 46617-3096
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
28218233A
IN
Other
Enumeration date
06/19/2019
Last updated
06/21/2019
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