Provider Demographics
NPI:1821732918
Name:HOLMES, HEATHER JOAN (MBBS, RN)
Entity Type:Individual
Prefix:DR
First Name:HEATHER
Middle Name:JOAN
Last Name:HOLMES
Suffix:
Gender:F
Credentials:MBBS, RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3319 FRERET ST
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70115-6028
Mailing Address - Country:US
Mailing Address - Phone:315-203-9626
Mailing Address - Fax:
Practice Address - Street 1:3319 FRERET ST
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70115-6028
Practice Address - Country:US
Practice Address - Phone:315-203-9626
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-04-25
Last Update Date:2022-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA221911163W00000X
NY558938163W00000X
NV845087163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse