Provider Demographics
NPI:1568177533
Name:HOLCOMB, DELARIAN DENAI (RN)
Entity Type:Individual
Prefix:
First Name:DELARIAN
Middle Name:DENAI
Last Name:HOLCOMB
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14708 JANICE DR
Mailing Address - Street 2:
Mailing Address - City:MAPLE HEIGHTS
Mailing Address - State:OH
Mailing Address - Zip Code:44137-4128
Mailing Address - Country:US
Mailing Address - Phone:216-804-9509
Mailing Address - Fax:
Practice Address - Street 1:14708 JANICE DR
Practice Address - Street 2:
Practice Address - City:MAPLE HEIGHTS
Practice Address - State:OH
Practice Address - Zip Code:44137-4128
Practice Address - Country:US
Practice Address - Phone:216-804-9509
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-01-13
Last Update Date:2023-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH496746163WM0705X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WM0705XNursing Service ProvidersRegistered NurseMedical-Surgical