Provider Demographics
NPI:1760401327
Name:HOLMES, LINDA D (ANP)
Entity Type:Individual
Prefix:
First Name:LINDA
Middle Name:D
Last Name:HOLMES
Suffix:
Gender:F
Credentials:ANP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:188 W NORTHERN LIGHTS BLVD
Mailing Address - Street 2:SUITE 800
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99503-3902
Mailing Address - Country:US
Mailing Address - Phone:907-276-2803
Mailing Address - Fax:907-278-8052
Practice Address - Street 1:188 W NORTHERN LIGHTS BLVD
Practice Address - Street 2:SUITE 800
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99503-3902
Practice Address - Country:US
Practice Address - Phone:907-276-2803
Practice Address - Fax:907-278-8052
Is Sole Proprietor?:No
Enumeration Date:2006-07-18
Last Update Date:2013-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK792363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
AKP00192060OtherRAILROAD MEDICARE
AKNP07922Medicaid
AKK160086Medicare PIN
AKP00192060OtherRAILROAD MEDICARE
Q36608Medicare UPIN