Christie Holder, N.P.

Individual provider Active NPI Family Nurse Practitioner · Levelland, TX

NPI 1154635308 · NPPES record last updated Jan 8, 2015

Key facts

NPI
1154635308
Entity type
Individual (NPI type 1)
Primary specialty
Family Nurse Practitioner 363LF0000X
License
651797 (TX)
Practice address
1000 FM 300
Levelland, TX 79336-6235
Phone
(806) 894-7842
Fax
(806) 894-3378
NPI assigned
Jul 29, 2010
Sex
Female
Sole proprietor
No

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
651797TXMDFamily Nurse Practitioner

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 651797 TX Yes

Addresses

Primary practice location

1000 FM 300
Levelland, TX 79336-6235

Mailing address

1000 FM 300
Levelland, TX 79336-6235
Phone (806) 894-7842

Other identifiers

IdentifierTypeStateIssuer
121513902MedicaidTX

Other providers in Levelland, TX

All providers in Levelland, TX · Family Nurse Practitioner in Texas

Sources for this page

Verify at the official NPI Registry.