Provider Demographics
NPI:1619866852
Name:HOLTERMAN, KHRISTINE LYNN (PA-C)
Entity type:Individual
Prefix:
First Name:KHRISTINE
Middle Name:LYNN
Last Name:HOLTERMAN
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:108 BAYWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:HILLSBOROUGH
Mailing Address - State:CA
Mailing Address - Zip Code:94010-6904
Mailing Address - Country:US
Mailing Address - Phone:650-218-0559
Mailing Address - Fax:
Practice Address - Street 1:108 BAYWOOD AVE
Practice Address - Street 2:
Practice Address - City:HILLSBOROUGH
Practice Address - State:CA
Practice Address - Zip Code:94010-6904
Practice Address - Country:US
Practice Address - Phone:650-218-0559
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-01
Last Update Date:2025-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant