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Individual

DEBORAH HOLDERFIELD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNP

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
1-113630
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1-113630
CRNP COLLABORATION LICENSE
AL
01
3687
PRESCRIBING NUMBER
AL
01
A0512010
AANP CERTIFICATION
Enumeration date
06/21/2012
Last updated
08/17/2015
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