Provider Demographics
NPI:1801367339
Name:HOLZMAN, MICHELE CAINAS (CNM)
Entity Type:Individual
Prefix:MRS
First Name:MICHELE
Middle Name:CAINAS
Last Name:HOLZMAN
Suffix:
Gender:F
Credentials:CNM
Other - Prefix:
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Mailing Address - Street 1:PO BOX 3233
Mailing Address - Street 2:
Mailing Address - City:MOULTRIE
Mailing Address - State:GA
Mailing Address - Zip Code:31776-3233
Mailing Address - Country:US
Mailing Address - Phone:229-985-2198
Mailing Address - Fax:229-891-3250
Practice Address - Street 1:3 SWEET BAY CT
Practice Address - Street 2:
Practice Address - City:MOULTRIE
Practice Address - State:GA
Practice Address - Zip Code:31768-6784
Practice Address - Country:US
Practice Address - Phone:229-985-2198
Practice Address - Fax:229-891-3250
Is Sole Proprietor?:No
Enumeration Date:2018-12-10
Last Update Date:2018-12-10
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
GARN282449367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife