Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363L00000X | Nurse Practitioner | 129118 | CO |
Y | 363L00000X | Nurse Practitioner | APN.0003598-NP | CO |
NPI | 1013047950 |
---|---|
Provider Name | Marci J Holstege |
First Address | Denver, CO 80247-1314 |
Second Address | Denver, CO 80247-1314 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/03/2007 |
Last Update Date | 21/08/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
015852 | KAISER COMMERCIAL NUMBER (01) | |
85325830 | (05) | CO |
P73466 | (02) | CO |