Mrs Carol Edwards Holland, CFNP | |
400 Military Heights Pl, Roswell, NM 88201-6407 | |
(575) 627-9500 | |
(575) 627-9535 |
Full Name | Mrs Carol Edwards Holland |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 400 Military Heights Pl, Roswell, New Mexico |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1962478412 | NPI | - | NPPES |
74-2823514 | Other | NM | GROUP TAX ID |
65000579 | Medicaid | NM | |
800521089 | Other | NM | GROUP MEDICARE |
1932187044 | Other | NM | GROUP NPI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | CNP00402 (New Mexico) | Secondary |
363LF0000X | Nurse Practitioner - Family | R23239 (New Mexico) | Primary |
Entity Name | Lovelace Health System Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1245798024 PECOS PAC ID: 9739099326 Enrollment ID: O20031210000397 |
Mailing Address | Practice Location Address |
---|---|
Mrs Carol Edwards Holland, CFNP 1112 N Main St, Roswell, NM 88201-5010 Ph: (575) 627-4200 | Mrs Carol Edwards Holland, CFNP 400 Military Heights Pl, Roswell, NM 88201-6407 Ph: (575) 627-9500 |
Dr. Krasimir M Hristov, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 400 E College Blvd Ste E, Roswell, NM 88201 Phone: 575-623-3155 Fax: 915-587-6324 | |
Katherine M Thatcher, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 106 N Delaware Ave, Roswell, NM 88203 Phone: 575-973-8543 Fax: 575-578-1901 | |
Mrs. Leticia Medrano, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 115 E 23rd St, Roswell, NM 88201 Phone: 575-625-1292 Fax: 575-624-4836 | |
Tonia Elizabeth Montoya, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 111 W Hobbs St, Roswell, NM 88203 Phone: 575-623-3311 Fax: 575-622-1273 | |
Darla Gene Melton, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 300 W Country Club Rd Ste 230, Roswell, NM 88201 Phone: 575-622-1411 Fax: 575-624-5630 | |
Ms. Kimberly A Hansen, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 109 W Bland St, Roswell, NM 88203 Phone: 575-623-1303 Fax: 575-622-1303 | |
Rachel M Schupp, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 111 W Hobbs St, Roswell, NM 88203 Phone: 575-623-3311 Fax: 575-622-1273 |