Provider Demographics
NPI:1225029499
Name:HOLMGREN, ROSEANN SCHMECHT (PA-C)
Entity Type:Individual
Prefix:MRS
First Name:ROSEANN
Middle Name:SCHMECHT
Last Name:HOLMGREN
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Gender:F
Credentials:PA-C
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Mailing Address - Street 1:1970 ROANOKE BLVD
Mailing Address - Street 2:11AC/CLINIC 3
Mailing Address - City:SALEM
Mailing Address - State:VA
Mailing Address - Zip Code:24153-6404
Mailing Address - Country:US
Mailing Address - Phone:540-982-2463
Mailing Address - Fax:540-255-3469
Practice Address - Street 1:1970 ROANOKE BLVD
Practice Address - Street 2:11AC/CLINIC 3
Practice Address - City:SALEM
Practice Address - State:VA
Practice Address - Zip Code:24153-6404
Practice Address - Country:US
Practice Address - Phone:540-982-2463
Practice Address - Fax:540-855-3469
Is Sole Proprietor?:No
Enumeration Date:2005-11-04
Last Update Date:2008-09-10
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Provider Licenses
StateLicense IDTaxonomies
VA0110-001847363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical