Patricia A Holm, CRNA

Individual provider Active NPI Certified Registered Nurse Anesthetist · Geneseo, IL

NPI 1649385121 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1649385121
Entity type
Individual (NPI type 1)
Primary specialty
Certified Registered Nurse Anesthetist 367500000X
Practice address
600 N College Ave
Geneseo, IL 61254-1091
Phone
(309) 944-6431
NPI assigned
Aug 21, 2006
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
Certified Registered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X IL Yes

Addresses

Primary practice location

600 N College Ave
Geneseo, IL 61254-1091

Mailing address

600 N College Ave
Geneseo, IL 61254-1091
Phone (309) 944-6431

Other providers in Geneseo, IL

All providers in Geneseo, IL · Certified Registered Nurse Anesthetist in Illinois

Sources for this page

Verify at the official NPI Registry.