person
Mary R. Holt, CPNP
Pediatric Nurse Practitioner in Grand Rapids, Michigan
NPI 1073772984

Mary R. Holt is a Pediatric Nurse Practitioner based in Grand Rapids, MI and is specialized in Pediatrics. Mary R. Holt practices in Grand Rapids, MI and has the professional credentials of CPNP. The NPI Number for Mary R. Holt is 1073772984 and holds a License No. 4704109296 (Michigan).

The current practice location address for Mary R. Holt is 935 Baxter St Se, Grand Rapids, MI and can be reached out via phone at 616-456-5310 and via fax at 616-456-8640.

Location: 935 Baxter St Se, Grand Rapids, MI, 49506-2599
person
Provider Profile Details
NPI Number
1073772984
Provider Name
Mary R. Holt
Credential
CPNP
Provider Entity Type
Individual
Gender
Female
Address
935 Baxter St Se, Grand Rapids, MI, 49506-2599
Phone Number
616-456-5310
Fax Number
616-456-8640
Provider Enumeration Date
06/05/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2742857 05 MI
institution
Provider Business Practice Location Address Details
Address
935 Baxter St Se
City
State
Zip
49506-2500
Phone Number
616-456-5310
Fax Number
616-456-8640
person
Provider Business Mailing Address Details
Address
935 Baxter St Se
City
State
Zip
49506-2500
Phone Number
616-456-5310
Fax Number
616-456-8640
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics
Taxonomy
License No.
4704109296 (Michigan)
Definition
Definition to come...
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