Holstine, Vanessa R

Holstine, Vanessa R is an individual health care provider with primary practice located at 3525 E Louise Dr Ste 500 , Meridian ID 83642-6305. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Holstine, Vanessa R can be contacted via phone (208) 706-7050.

Contact Information

Primary practice address
3525 E Louise Dr Ste 500 Meridian ID 83642-6305
Phone: (208) 706-7050
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X NP493A Idaho

Profile Details

NPI number 1043346901
LBN Legal business name Holstine, Vanessa R
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 26th, 2007
Last updated Sep 28th, 2022 - about 4 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1043346901 NPPES
Idaho MEDICAID 805914000

Popular Providers