Individual
MRS. WENDY ANNE HOLZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, CPNP
Contact information
Practice address
750 E ADAMS ST, SYRACUSE, NY 13210-2306
(315) 464-7562
(315) 464-1979
Mailing address
3595 COLD SPRINGS RD, BALDWINSVILLE, NY 13027-9498
(315) 464-7562
(315) 464-1979
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
F381259-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02209350
—
NY
Enumeration date
09/16/2006
Last updated
07/08/2007
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