Provider Demographics
NPI:1942061270
Name:CATHERINE HOLMES
Entity Type:Organization
Organization Name:CATHERINE HOLMES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PMHNP
Authorized Official - Prefix:
Authorized Official - First Name:CATHERINE
Authorized Official - Middle Name:
Authorized Official - Last Name:HOLMES
Authorized Official - Suffix:
Authorized Official - Credentials:PMHNP
Authorized Official - Phone:970-396-5954
Mailing Address - Street 1:3620 W 10TH ST STE B113
Mailing Address - Street 2:
Mailing Address - City:GREELEY
Mailing Address - State:CO
Mailing Address - Zip Code:80634-1853
Mailing Address - Country:US
Mailing Address - Phone:970-616-4566
Mailing Address - Fax:
Practice Address - Street 1:3527 W 12TH ST STE 201
Practice Address - Street 2:
Practice Address - City:GREELEY
Practice Address - State:CO
Practice Address - Zip Code:80634-2538
Practice Address - Country:US
Practice Address - Phone:970-616-4566
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-23
Last Update Date:2024-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty