Holmes, Mary Brantley

Holmes, Mary Brantley is an individual health care provider with primary practice located at 5821 Staples Mill Rd , Richmond VA 23228-5427. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Primary Care, which is considered as her primary health care specialty. Holmes, Mary Brantley can be contacted via phone (804) 264-0966.

Contact Information

Primary practice address
5821 Staples Mill Rd Richmond VA 23228-5427
Phone: (804) 264-0966
Fax: (804) 264-1029
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X 0024164678 Virginia

Profile Details

NPI number 1588001556
LBN Legal business name Holmes, Mary Brantley
Credentials Women's Health Nurse Practitioner (WHNP)
Entity Individual
Sole proprietor 1 No
Enumeration date May 30th, 2013
Last updated Oct 28th, 2021 - about 5 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 1588001556 NPPES
Virginia Other 0024164678 LICENSE TO PRACTICE AS A LISENSED NURSE PRACTITIONER- WOMEN'S HEALTH
Virginia Other 0017137293 LICENSE TO PRACTICE AS A LISENSED NURSE PRACTITIONER- WOMEN'S HEALTH

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