Holder, Krista

Holder, Krista is an individual health care provider with primary practice located at 1000 Waterman Way , Tavares FL 32778-5266. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, Nursing Service Providers / Registered Nurse. Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered is her primary health care specialty. Holder, Krista can be contacted via phone (407) 667-0444.

Contact Information

Primary practice address
1000 Waterman Way Tavares FL 32778-5266
Phone: (407) 667-0444
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X ARNP9236005 Florida
Nursing Service Providers / Registered Nurse 163W00000X RN 9236005 Florida

Profile Details

NPI number 1346534336
LBN Legal business name Holder, Krista
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 7th, 2011
Last updated Feb 19th, 2015 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1346534336 NPPES
Florida Other G00ST BCBS
Florida MEDICAID 003905400 BCBS

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