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Nicholas Ray Von Holten, PA-C
Medical Physician Assistant in Bloomington, Illinois
NPI 1063054278

Nicholas Ray Von Holten is a Medical Physician Assistant based in Bloomington, IL and is specialized in Medical. Nicholas Ray Von Holten practices in Bloomington, IL and has the professional credentials of PA-C. The NPI Number for Nicholas Ray Von Holten is 1063054278 and holds a License No. 085.007292 (Illinois).

The current practice location address for Nicholas Ray Von Holten is 1111 Trinity Ln Ste 111, Bloomington, IL and can be reached out via phone at 309-663-6461. You can also correspond with Nicholas Ray Von Holten through the mailing address at 21 PRENZLER DR, BLOOMINGTON, IL - 61704-1299 (mailing address contact number: 309-824-6658).

Location: 1111 Trinity Ln Ste 111, Bloomington, IL, 61704-1299
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1063054278
Provider Name
Nicholas Ray Von Holten
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
1111 Trinity Ln Ste 111, Bloomington, IL, 61704-1299
Phone Number
309-663-6461
Fax Number
Provider Enumeration Date
10/09/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1111 Trinity Ln Ste 111
City
Bloomington
State
Illinois
Zip
61704-8112
Phone Number
309-663-6461
Fax Number
person
Provider Business Mailing Address Details
Address
21 Prenzler Dr
City
Bloomington
State
Illinois
Zip
61704-1299
Phone Number
309-824-6658
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
-
Taxonomy
363A00000X
License No.
085.007292 (Illinois)
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
363AM0700X
License No.
085.007292 (Illinois)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
363AS0400X
License No.
085.007292 (Illinois)
Definition
Definition to come...
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