CAROLYN FAIRCLOTH HOLMAN C.R.N.P. NPI 1407836802

NPI Information

Carolyn Faircloth Holman, C.R.N.P. is a family nurse practitioner in Elberta, AL with 39 years of experience. Carolyn Faircloth Holman, C.R.N.P. NPI is 1407836802. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: UNIVERSITY OF SOUTH ALABAMA COLLEGE OF MEDICINE
Graduation Year:1985

The provider's business location address is:

24980 STATE ST
PO DRAWER 519
ELBERTA, AL
ZIP 36530-573
Phone: (251) 986-7301
Fax: (251) 986-5927

The NPI 1407836802 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 1/20/2006 and was last updated on 2/20/2020.

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:

Other Identifiers

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

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