person
Susan Diane Holmes, RN
Community Health Registered Nurse in Saint Louis, Missouri
NPI 1124193842

Susan Diane Holmes is a Community Health Registered Nurse based in Saint Louis, MO and is specialized in Community Health. Susan Diane Holmes practices in Saint Louis, MO and has the professional credentials of RN. The NPI Number for Susan Diane Holmes is 1124193842 and holds a License No. 072618 (Missouri).

The current practice location address for Susan Diane Holmes is 4000 Jennings Station Rd, Saint Louis, MO and can be reached out via phone at 314-679-7873 and via fax at 314-679-7876.

Location: 4000 Jennings Station Rd, Saint Louis, MO, 63121-3323
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Provider Profile Details
NPI Number
1124193842
Provider Name
Susan Diane Holmes
Credential
RN
Provider Entity Type
Individual
Gender
Female
Address
4000 Jennings Station Rd, Saint Louis, MO, 63121-3323
Phone Number
314-679-7873
Fax Number
314-679-7876
Provider Enumeration Date
11/21/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
072618 01 MO NURSING LICENSURE NUMBER
institution
Provider Business Practice Location Address Details
Address
4000 Jennings Station Rd
City
State
Zip
63121-3323
Phone Number
314-679-7873
Fax Number
314-679-7876
person
Provider Business Mailing Address Details
Address
4000 Jennings Station Rd
City
State
Zip
63121-3323
Phone Number
314-679-7873
Fax Number
314-679-7876
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Community Health
Taxonomy
License No.
072618 (Missouri)
Definition
Definition to come...
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