Individual provider · NPI-1

Holly Aertker, CAA

Anesthesiologist Assistant · Tallahassee, FL

NPI number1922890250
StatusActive
Last updated in NPPESJul 3, 2025

Details

NPI
1922890250
Entity type
Individual (NPI-1)
Name
Holly Aertker
Credential
CAA
Sex
Female
Sole proprietor
No
Enumeration date
May 21, 2025
Certification date
Jul 3, 2025
Last updated
Jul 3, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
367H00000X Anesthesiologist AssistantAA1061FLYes

Practice location

1300 Miccosukee Rd
Tallahassee, FL 32308-5054

Phone 850-431-1155

Mailing address

410 Victory Garden Dr Apt 186
Tallahassee, FL 32301-3257

Phone 985-502-7118

Other practice locations

2626 Capital Medical Blvd
Tallahassee, FL 32308-4402

Phone 850-325-5000

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