STEPHEN B HOLDERMAN APRN NPI 1255339636

NPI Information

NPI: 1255339636
Provider Name: STEPHEN B HOLDERMAN, APRN
Classification: Nurse Practitioner - 363LA2200X
Entity Type: Individual

Specialization: Adult Health

PECOS Registration: Yes

Address:
1 MEDICAL CENTER DR
DHMC DEPARTMENT OF CARDIOLOGY
LEBANON, NH
ZIP 03756
Phone: (603) 650-7837
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Stephen B Holderman, APRN is an adult health nurse practitioner in Lebanon, NH with 21 years of experience. Stephen B Holderman, APRN NPI is 1255339636. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1 MEDICAL CENTER DR
DHMC DEPARTMENT OF CARDIOLOGY
LEBANON, NH
ZIP 03756-000
Phone: (603) 650-7837

The NPI 1255339636 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 7/11/2005 and was last updated on 11/21/2011.

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	363L00000X	Nurse Practitioner		900375	NORTH CAROLINA	No
2	363LA2200X	Nurse Practitioner	Adult Health	052864-23	NEW HAMPSHIRE	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
1	30344623	MEDICAID	NEW HAMPSHIRE
2	NP5504	MEDICARE PIN	NEW HAMPSHIRE
3	2807713	MEDICARE PIN	NORTH CAROLINA
4	P82308	MEDICARE UPIN
5	1012989	MEDICAID	VERMONT

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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