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Stephen Holman, AGACNP-BC

Nurse Practitioner, Acute Care in Richmond, VA. Individual provider (NPI-1).

NPI number1104496629
StatusActive
Last updated in NPPESFeb 5, 2024

Details

NPI
1104496629
Entity type
Individual (NPI-1)
Name
Stephen Holman
Credential
AGACNP-BC
Sex
Male
Sole proprietor
Yes
Enumeration date
Jun 28, 2021
Certification date
Feb 5, 2024
Last updated
Feb 5, 2024

Medicare and OIG

Medicare enrolled (PECOS)
Yes · PRACTITIONER - NURSE PRACTITIONER
Can order and refer
Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LA2100X Nurse Practitioner, Acute Care0024181722VAYes

Practice location

1250 E Marshall St
Richmond, VA 23298-5023

Phone 804-828-4620 · Fax 804-628-0537

Mailing address

Po Box 780125
Philadelphia, PA 19178-0125

Phone 804-922-4844

Other practice locations

1906 Belleview Ave Se
Roanoke, VA 24014-1838

Phone 540-981-7631

1213 E Clay St
Richmond, VA 23298-5071

Phone 804-828-4620 · Fax 804-628-0537

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Other Acute Care Nurse Practitioner providers in Richmond, VA

All 233 Acute Care Nurse Practitioner providers in Richmond · All 18,360 providers in Richmond

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