Provider Demographics
NPI:1912422718
Name:HOLMAN, KATHLEEN THERESE GUINEE (DNP, FNP-C)
Entity Type:Individual
Prefix:
First Name:KATHLEEN
Middle Name:THERESE GUINEE
Last Name:HOLMAN
Suffix:
Gender:F
Credentials:DNP, FNP-C
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Mailing Address - Street 1:2 S CASCADE AVE STE 140
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80903-1604
Mailing Address - Country:US
Mailing Address - Phone:719-538-2900
Mailing Address - Fax:719-538-2990
Practice Address - Street 1:32135 CASTLE CT STE 101
Practice Address - Street 2:
Practice Address - City:EVERGREEN
Practice Address - State:CO
Practice Address - Zip Code:80439-8006
Practice Address - Country:US
Practice Address - Phone:303-679-8500
Practice Address - Fax:303-679-8505
Is Sole Proprietor?:No
Enumeration Date:2017-08-14
Last Update Date:2024-04-02
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MNCNP5363363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily