Ruth A Holman, NP | |
868 Mortimer St, Barry, IL 62312-1249 | |
(217) 335-2343 | |
Not Available |
Full Name | Ruth A Holman |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 868 Mortimer St, Barry, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1427021492 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 209000643 (Illinois) | Primary |
Entity Name | Dwic Of Tampa Bay Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1780633834 PECOS PAC ID: 3779573167 Enrollment ID: O20040517001035 |
Entity Name | Medexpress Urgent Care Of Boynton Beach, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1366544728 PECOS PAC ID: 7517980832 Enrollment ID: O20060112000219 |
Mailing Address | Practice Location Address |
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Ruth A Holman, NP 868 Mortimer St, Barry, IL 62312-1249 Ph: (217) 335-2343 | Ruth A Holman, NP 868 Mortimer St, Barry, IL 62312-1249 Ph: (217) 335-2343 |
Lisa K Sprague, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 868 Mortimer St, Barry, IL 62312 Phone: 217-335-2343 | |
Corinna Jo Sheppard, MSN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 868 Mortimer St, Barry, IL 62312 Phone: 217-335-2343 Fax: 217-335-2443 |