Provider Demographics
NPI:1356536924
Name:HOLETS-ROSSI, DEBORA ERB (RN, CRNP)
Entity type:Individual
Prefix:MRS
First Name:DEBORA
Middle Name:ERB
Last Name:HOLETS-ROSSI
Suffix:
Gender:F
Credentials:RN, CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:920 WINTER ST
Mailing Address - Street 2:3W-16
Mailing Address - City:WALTHAM
Mailing Address - State:MA
Mailing Address - Zip Code:02451-1521
Mailing Address - Country:US
Mailing Address - Phone:781-699-2924
Mailing Address - Fax:781-699-4322
Practice Address - Street 1:562 SHEARER ST
Practice Address - Street 2:
Practice Address - City:GREENSBURG
Practice Address - State:PA
Practice Address - Zip Code:15601-2746
Practice Address - Country:US
Practice Address - Phone:724-832-8061
Practice Address - Fax:724-832-9311
Is Sole Proprietor?:No
Enumeration Date:2007-09-07
Last Update Date:2010-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARN260235L163W00000X
PASP009492363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care
No163W00000XNursing Service ProvidersRegistered Nurse