DEBORAH LEES HOLTORF PNP NPI 1457372013

NPI Information

NPI: 1457372013
Provider Name: DEBORAH LEES HOLTORF, PNP
Classification: Nurse Practitioner - 363LP0200X
Entity Type: Individual

Specialization: Pediatrics

Address:
1 JOSLIN PL
BOSTON, MA
ZIP 02215
Phone: (617) 732-2603
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Deborah Lees Holtorf, PNP is a pediatrics nurse practitioner in Boston, MA. Deborah Lees Holtorf, PNP NPI is 1457372013. 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:

1 JOSLIN PL
BOSTON, MA
ZIP 02215-306
Phone: (617) 732-2603
Fax: (617) 732-2451

The enumeration date for this NPI number is 7/21/2006 and was last updated on 7/8/2007.

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	363LP0200X	Nurse Practitioner	Pediatrics	107031	MASSACHUSETTS	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	0317101	MEDICAID	MASSACHUSETTS
2	P72654	MEDICARE UPIN
3	NP3968	OTHER	MASSACHUSETTS	BLUECROSS/BLUESHIELD
4	HONP3968	MEDICARE ID-TYPE UNSPECIFIED	MASSACHUSETTS

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: 11/14/2023

NPI Synchronization or Removal

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