Holly Jean Batterman, M.D.

Individual provider Active NPI Internal Medicine Physician · Mill Valley, CA

NPI 1124138276 · NPPES record last updated Mar 7, 2023

Key facts

NPI
1124138276
Entity type
Individual (NPI type 1)
Primary specialty
Internal Medicine Physician 207R00000X
License
G67824 (CA)
Practice address
655 Redwood Hwy Ste 200
Mill Valley, CA 94941-3055
Phone
(415) 383-6623
Fax
(415) 383-6671
NPI assigned
Aug 30, 2006
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G67824CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tides Center Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X G67824 CA Yes

Addresses

Primary practice location

655 Redwood Hwy Ste 200
Mill Valley, CA 94941-3055

Mailing address

655 Redwood Hwy Ste 200
Mill Valley, CA 94941-3055
Phone (415) 383-6623

Other providers in Mill Valley, CA

All providers in Mill Valley, CA · Internal Medicine Physician in California

Sources for this page

Verify at the official NPI Registry.