Individual
DR. GREGORY BERNT HOLM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D., ARNP-C, FAANP
Contact information
Practice address
595 RUSSELL ST, CRAIG, CO 81625-1920
(970) 826-0911
(970) 826-0910
Mailing address
595 RUSSELL ST, CRAIG, CO 81625-1920
(970) 826-0911
(970) 826-0910
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APN.0990175-NP
CO
363L00000X
Nurse Practitioner
ARNP1801062
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001446100
—
CO
Enumeration date
06/30/2005
Last updated
02/19/2015
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