Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
PHYLLIS ANN HOLMES, RD
Active Sole ProprietorNutrition, Education · SECAUCUS, NJ
Registration Details
- NPI Number
- 1053448134
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Feb 27, 2007 (19.186393983184 yrs)
- Last Updated
- Jun 21, 2022
- License
-
886131 (NJ)
- Sole Proprietor
- Yes
Practice Information
- Address
-
55 MEADOWLANDS PKWYSECAUCUS, NJ, 070942977Browse NJ providers · Browse ZIP 07094
- Phone
- 8883695550
- Fax
- 8883695550
- Primary Specialty
-
Nutrition, Education
133NN1002X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.