Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363LA2200X | Nurse Practitioner - Adult Health | 303034 | NY |
Y | 363LA2200X | Nurse Practitioner - Adult Health | ARNP9356884 | FL |
NPI | 1003964198 |
---|---|
Provider Name | Clara I Holodar |
First Address | Tampa, FL 33634-2367 |
Second Address | Tampa, FL 33634-2367 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/01/2007 |
Last Update Date | 12/05/2015 |