| Mary R Holt, CPNP | |
|
935 Baxter St Se, Grand Rapids, MI 49506-2500 | |
| (616) 456-5310 | |
| (616) 456-8640 |
| Full Name | Mary R Holt |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Pediatrics |
| Location | 935 Baxter St Se, Grand Rapids, Michigan |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073772984 | NPI | - | NPPES |
| 2742857 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP0200X | Nurse Practitioner - Pediatrics | 4704109296 (Michigan) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mary R Holt, CPNP 935 Baxter St Se, Grand Rapids, MI 49506-2599 Ph: (616) 456-5310 | Mary R Holt, CPNP 935 Baxter St Se, Grand Rapids, MI 49506-2500 Ph: (616) 456-5310 |
Paul Dieleman, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1131 Ionia Ave Nw, Grand Rapids, MI 49503 Phone: 616-259-7900 Fax: 616-259-7909 | |
Dr. Katherine Pruss, DNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3201 Burton St Se, Sb 260, Grand Rapids, MI 49546 Phone: 616-526-6808 | |
Vanessa Rae Smitko, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4100 Lake Dr Se Ste 300, Grand Rapids, MI 49546 Phone: 616-267-8860 | |
Cassandra Cummings, DNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 100 Michigan St Ne # Mc845, Grand Rapids, MI 49503 Phone: 616-486-6790 | |
Anne Therese Beauchamp, PMHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1055 Medical Park Dr Se, Grand Rapids, MI 49546 Phone: 616-942-9610 | |
Mary Barr, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4100 Lake Dr Se Ste 200, Grand Rapids, MI 49546 Phone: 616-391-3759 | |
Joyce M Jensen, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1000 East Paris Ave Se Ste 100, Grand Rapids, MI 49546 Phone: 616-459-3158 Fax: 616-988-0071 |