GABRIEL MARIE HOLTMAN NP NPI 1023789583

NPI Information

NPI: 1023789583
Provider Name: GABRIEL MARIE HOLTMAN, NP
Classification: Nurse Practitioner - 363LP0200X
Entity Type: Individual

Specialization: Pediatrics

PECOS Registration: Yes

Address:
9000 W WISCONSIN AVE
MILWAUKEE, WI
ZIP 53226
Phone: (414) 266-3360
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Gabriel Marie Holtman, NP is a pediatrics nurse practitioner in Milwaukee, WI. Gabriel Marie Holtman, NP NPI is 1023789583. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

9000 W WISCONSIN AVE
MILWAUKEE, WI
ZIP 53226-874
Phone: (414) 266-3360
Fax: (414) 266-3563

The NPI 1023789583 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 9/24/2021 and was last updated on 11/8/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	209021881	ILLINOIS	No
2	363LF0000X	Nurse Practitioner	Family	4704317104	MICHIGAN	No
3	363LF0000X	Nurse Practitioner	Family	11024	WISCONSIN	No
4	363LP0200X	Nurse Practitioner	Pediatrics	209021881	ILLINOIS	No
5	363LP0200X	Nurse Practitioner	Pediatrics	4704317104	MICHIGAN	No
6	363LP0222X	Nurse Practitioner	Pediatrics, Critical Care	259319-30	WISCONSIN	No
7	363LP0222X	Nurse Practitioner	Pediatrics, Critical Care	11024	WISCONSIN	No
8	363LP0200X	Nurse Practitioner	Pediatrics	5016271	NORTH CAROLINA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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