Provider Demographics
NPI:1053478883
Name:HOLT, HOLLY B (CNP)
Entity Type:Individual
Prefix:MRS
First Name:HOLLY
Middle Name:B
Last Name:HOLT
Suffix:
Gender:F
Credentials:CNP
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:6100 E MAIN ST
Mailing Address - Street 2:SUITE 112
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43213-3399
Mailing Address - Country:US
Mailing Address - Phone:614-759-6200
Mailing Address - Fax:614-759-6443
Practice Address - Street 1:6100 E MAIN ST
Practice Address - Street 2:SUITE 112
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43213-3399
Practice Address - Country:US
Practice Address - Phone:614-759-6200
Practice Address - Fax:614-759-6443
Is Sole Proprietor?:No
Enumeration Date:2007-01-02
Last Update Date:2013-04-18
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OH01588363LX0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LX0001XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerObstetrics & Gynecology