Provider Demographics
NPI:1578885562
Name:HOLMQUIST, TERESE ANN (ANP MS)
Entity Type:Individual
Prefix:
First Name:TERESE
Middle Name:ANN
Last Name:HOLMQUIST
Suffix:
Gender:F
Credentials:ANP MS
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Other - First Name:
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Mailing Address - Street 1:181 W MEADOW DR
Mailing Address - Street 2:SUITE 200
Mailing Address - City:VAIL
Mailing Address - State:CO
Mailing Address - Zip Code:81657-5242
Mailing Address - Country:US
Mailing Address - Phone:970-476-1100
Mailing Address - Fax:970-479-5875
Practice Address - Street 1:181 W MEADOW DR
Practice Address - Street 2:SUITE 400
Practice Address - City:VAIL
Practice Address - State:CO
Practice Address - Zip Code:81657-5242
Practice Address - Country:US
Practice Address - Phone:970-476-1100
Practice Address - Fax:970-479-5875
Is Sole Proprietor?:No
Enumeration Date:2010-02-18
Last Update Date:2014-09-17
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CO130180363L00000X
CO0003517363L00000X
CO0100291363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner