Christine Corado Holman, NURSE PRACTITIONER | |
10039 Vine St, Lakeside, CA 92040-3120 | |
(833) 867-4642 | |
Not Available |
Full Name | Christine Corado Holman |
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Gender | Female |
Speciality | Nurse Practitioner |
Location | 10039 Vine St, Lakeside, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1710683388 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | NP95022993 (California) | Primary |
Entity Name | Neighborhood Healthcare |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1598703647 PECOS PAC ID: 5294649406 Enrollment ID: O20031112000809 |
Entity Name | American Current Care Of California A Medical Corporation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1750573622 PECOS PAC ID: 5799854303 Enrollment ID: O20080522000420 |
Mailing Address | Practice Location Address |
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Christine Corado Holman, NURSE PRACTITIONER 10039 Vine St, Lakeside, CA 92040-3120 Ph: (833) 867-4642 | Christine Corado Holman, NURSE PRACTITIONER 10039 Vine St, Lakeside, CA 92040-3120 Ph: (833) 867-4642 |
Meiqi An, RN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 9728 Winter Gardens Blvd, Lakeside, CA 92040 Phone: 619-938-0069 | |
Freshta Nejati, F.N.P. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 10039 Vine St, Lakeside, CA 92040 Phone: 619-390-9975 |