Provider Demographics
NPI:1811322563
Name:HOLZBERLEIN, PATRICIA SUE (CS)
Entity type:Individual
Prefix:MS
First Name:PATRICIA
Middle Name:SUE
Last Name:HOLZBERLEIN
Suffix:
Gender:F
Credentials:CS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:76 PINE RD
Mailing Address - Street 2:
Mailing Address - City:ASHBY
Mailing Address - State:MA
Mailing Address - Zip Code:01431-2133
Mailing Address - Country:US
Mailing Address - Phone:978-502-6137
Mailing Address - Fax:
Practice Address - Street 1:76 PINE RD
Practice Address - Street 2:
Practice Address - City:ASHBY
Practice Address - State:MA
Practice Address - Zip Code:01431-2133
Practice Address - Country:US
Practice Address - Phone:978-502-6137
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-09-12
Last Update Date:2013-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374K00000XNursing Service Related ProvidersReligious Nonmedical Practitioner