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SETH HOLM NURSE PRACTITIONER

Family >> Nurse Practitioner >> Physician Assistants & Advanced Practice Nursing Providers

Registrant NPI Number: 1285063362

Individual Registrant:
 SETH  HOLM NURSE PRACTITIONER
Gender: M
Not Sole Proprietor

Location and contact information for practice:
20615 PONDEROSA WAY  TUOLUMNE, CA 95379-9735 US
Tel: 209-928-3174  Fax: --

Contact information for business:
6920 MIRAMAR RD  SAN DIEGO, CA 92121-2632 US
Tel: 858-530-4856  Fax: --

Registration Information:
NPI: 1285063362
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y363LF0000XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
Family
CA95000059
N163WG0000XNursing Service Providers
Registered Nurse
CA95000059
N163WH0200XNursing Service Providers
Registered Nurse
CA95000059

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




HEALTH CARE JOBS CA - Page 1



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