MRS. BRENDA KAY HOLZER CFM NPI 1053852343

NPI Information

NPI: 1053852343
Provider Name: MRS. BRENDA KAY HOLZER, CFM
Classification: Mastectomy Fitter - 224900000X
Entity Type: Individual
Address:
2141 EASTVIEW PKWY
CONYERS, GA
ZIP 30013
Phone: (770) 922-5540
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MRS. Brenda Kay Holzer, CFM is a mastectomy fitter in Conyers, GA. The provider is an individual trained in the fitting and adjusting of breast prostheses and management of post-mastectomy prostheses services. MRS. Brenda Kay Holzer, CFM NPI is 1053852343. 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:

2141 EASTVIEW PKWY
CONYERS, GA
ZIP 30013-756
Phone: (770) 922-5540
Fax: (770) 922-8535

The enumeration date for this NPI number is 3/20/2017 and was last updated on 3/20/2017.

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	224900000X	Mastectomy Fitter				Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1250340001	MEDICARE NSC	GEORGIA
2	0008128253A	MEDICAID	GEORGIA

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: 5/5/2024

NPI Synchronization or Removal

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