Diane W Holzum, APRN, MSN, CNS

Primary specialty

Clinical Nurse SpecialistTaxonomy code 364S00000X

License

065929 Issued in MO

Practice address

1701 Lacey St
Cape Girardeau, MO 63701-5230

Phone

(573) 334-4822

Fax

(573) 986-5984

NPI assigned

Mar 26, 2007

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Specialist, Master of Science - Nursing, Nurse Practitioner

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1831217496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "503 MANSFIELD PL",
            "city": "JACKSON",
            "state": "MO",
            "postal_code": "637552318",
            "telephone_number": "573-243-7029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 LACEY ST",
            "city": "CAPE GIRARDEAU",
            "state": "MO",
            "postal_code": "637015230",
            "telephone_number": "573-334-4822",
            "fax_number": "573-986-5984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLZUM",
        "first_name": "DIANE",
        "middle_name": "W",
        "credential": "APRN, MSN, CNS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364S00000X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist",
            "state": "MO",
            "license": "065929",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura E Holmes, MD
• Joshua Benjamin Holt, PHARM.D.
• Katrina Holt, RN
• Karen Holtzclaw
• Casey Holzum, LPN
• Home Medical Supply of Poplar Bluff, Inc
• Hometown Care in Home, LLC
• Trygve O Honaas, M.D.
• Im S Hong, MD
• Danylle Hoover

• Clinical Nurse Specialist in Cape Girardeau, MO
• Providers in Cape Girardeau, MO by specialty
• Clinical Nurse Specialist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.