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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MOLLY SUSANNAH HOLM, LPN

Active Sole Proprietor

MOLLY SUSANNAH HOLM, LPN is a Licensed Practical Nurse healthcare provider located in MOUNT TREMPER, New York. NPI 1497991186 is currently active in the NPPES registry. Verify at CMS.

Licensed Practical Nurse · MOUNT TREMPER, NY

Registration Details

NPI Number
1497991186
Provider Type
Individual
Gender
Female
NPI Issued
Dec 30, 2008 (17.655457078201 yrs)
Last Updated
Dec 30, 2008
License
287264 (NY)
Sole Proprietor
Yes

Practice Information

Address
38 ANDREW LN
MOUNT TREMPER, NY, 124575315
Browse NY providers · Browse ZIP 12457
Phone
8456578999
Primary Specialty
Licensed Practical Nurse
164W00000X
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.