Patricia A Holm, CRNA
Nurse Anesthetist, Certified Registered in Geneseo, IL. Individual provider (NPI-1).
NPI number1649385121
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1649385121
- Entity type
- Individual (NPI-1)
- Name
- Patricia A Holm
- Credential
- CRNA
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 21, 2006
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 209000701 | IL | Yes |
Practice location
600 N College AveGeneseo, IL 61254-1091
Phone 309-944-6431
Mailing address
600 N College AveGeneseo, IL 61254-1091
Phone 309-944-6431
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