Individual
NICOLE HOLM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
131 FIRST AVE, HAINES, AK 99827
(907) 766-6373
Mailing address
PO BOX 1549, HAINES, AK 99827-1549
(907) 766-6373
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
35989
AK
Other
Enumeration date
03/11/2014
Last updated
03/11/2014
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