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David G Holland, NPC

Nurse Practitioner in Rexburg, ID. Individual provider (NPI-1).

NPI number1528044955
StatusActive
Last updated in NPPESJul 13, 2026

Details

NPI
1528044955
Entity type
Individual (NPI-1)
Name
Mr. David G Holland
Credential
NPC
Sex
Male
Sole proprietor
No
Enumeration date
Dec 19, 2005
Last updated
Jul 13, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363L00000X Nurse PractitionerNP254AIDYes

Practice location

Sch 100
Rexburg, ID 83460-2010

Phone 208-456-1300 · Fax 208-456-1306

Mailing address

1025 Iona St
Idaho Falls, ID 83402-1915

Phone 208-525-8102

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