Timbolin Deirdre Holmes MSN,RN, APN,CNP

NPI 1275814709 - Nurse Practitioner - 363LA2100X

NPI Details
NPI 1275814709
Gender Female
Enumeration Date 08/29/2011
Last Updated 06/10/2016
Entity Type Individual
Active Over 5 years ago
Practice Location
2080 N STATE ROUTE 50
BOURBONNAIS IL, 60914-4410, US
Phone (815) 936-6012
Fax
Business Location
13550 S ROUTE 30
SUITE 100
PLAINFIELD IL, 60544-5685, US
Phone (815) 436-1655
Fax
Toxanomy
Taxonomy Code 363LA2100X
License State Illinois
License Number 209.009027
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According to our database, Mrs. Timbolin Deirdre Holmes MSN,RN, APN,CNP NPI is 1275814709, taxonomy code is 363LA2100X and license number is 209.009027, license state is located at Illinois. Timbolin Deirdre Holmes MSN,RN, APN,CNP physically located at 2080 N State Route 50, Bourbonnais IL, 60914-4410. NPI Number Timbolin Deirdre Holmes MSN,RN, APN,CNP has the Individual type.

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1275814709 NPI number is provided on an as is basis without warranty of any kind. 1275814709 is maintained by the National Plan & Provider Enumeration System. The contents of Timbolin Deirdre Holmes MSN,RN, APN,CNP are for informational purposes only.