Individual
REBECCA HOLDGREVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP/C, APRN
Contact information
Practice address
3909 NEW VISION DR, FORT WAYNE, IN 46845-1725
(260) 469-6610
(260) 969-3065
Mailing address
11109 PARKVIEW PLAZA DR # 117, FORT WAYNE, IN 46845-1701
Taxonomy
Speciality
Code
Description
License number
State
163WX0200X
Oncology Registered Nurse
28203679A
IN
363L00000X
Nurse Practitioner
Primary
71012583A
IN
363L00000X
Nurse Practitioner
APRN.CNP.0036209
OH
Other
Enumeration date
05/11/2022
Last updated
01/07/2026
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