Stephanie Holderman, PMHNP-BC
Registered Nurse, Psych/Mental Health, Adult in Wilmington, NC. Individual provider (NPI-1).
NPI number1083215917
StatusActive
Last updated in NPPESJan 11, 2022
Details
- NPI
- 1083215917
- Entity type
- Individual (NPI-1)
- Name
- Stephanie Holderman
- Credential
- PMHNP-BC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 6, 2020
- Certification date
- Jan 11, 2022
- Last updated
- Jan 11, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163WP0809X | Registered Nurse, Psych/Mental Health, Adult | 231439 | NC | Yes |
| 363LP0808X | Nurse Practitioner, Psych/Mental Health | 5014010 | NC |
Practice location
5710 Oleander Dr Ste 112Wilmington, NC 28403-4722
Phone 910-769-1785
Mailing address
5710 Oleander Dr Ste 112Wilmington, NC 28403-4722
Phone 910-769-1785
Other practice locations
1920 S 16th St
Wilmington, NC 28401-6611
Wilmington, NC 28401-6611
Phone 910-632-2191
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