Individual
MRS. ELLEN TERESE HOLM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AGPCNP-BC
Contact information
Practice address
3682 UTICA RIDGE RD UNIT A, BETTENDORF, IA 52722-1648
(563) 370-1853
(563) 386-0965
Mailing address
3682 UTICA RIDGE RD UNIT A, BETTENDORF, IA 52722-1648
(563) 391-1024
(563) 386-0965
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
2014015805
IN
Other
Enumeration date
11/11/2014
Last updated
09/12/2023
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