Provider Demographics
NPI:1386007565
Name:HOLCOMBE, ELIZABETH A (CNM)
Entity Type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:A
Last Name:HOLCOMBE
Suffix:
Gender:F
Credentials:CNM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5530 WISCONSIN AVE
Mailing Address - Street 2:SUITE 1200
Mailing Address - City:CHEVY CHASE
Mailing Address - State:MD
Mailing Address - Zip Code:20815-4404
Mailing Address - Country:US
Mailing Address - Phone:301-321-3300
Mailing Address - Fax:301-652-1045
Practice Address - Street 1:5530 WISCONSIN AVE
Practice Address - Street 2:SUITE 1200
Practice Address - City:CHEVY CHASE
Practice Address - State:MD
Practice Address - Zip Code:20815-4404
Practice Address - Country:US
Practice Address - Phone:301-321-3305
Practice Address - Fax:301-652-1045
Is Sole Proprietor?:No
Enumeration Date:2016-04-04
Last Update Date:2016-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR221262367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife