MR. THOMAS WILLIAM HOLTGRAVE A.P.N. NPI 1588663165

NPI Information

NPI: 1588663165
Provider Name: MR. THOMAS WILLIAM HOLTGRAVE, A.P.N.
Classification: Nurse Practitioner - 363LW0102X
Entity Type: Individual

Specialization: Women's Health

Address:
545 N BUS US HWY 65
STE. 504
BRANSON, MO
ZIP 65616
Phone: (417) 335-2080
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MR. Thomas William Holtgrave, A.P.N. is a women's health nurse practitioner in Branson, MO. MR. Thomas William Holtgrave, A.P.N. NPI is 1588663165. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

545 N BUS US HWY 65
STE. 504
BRANSON, MO
ZIP 65616-500
Phone: (417) 335-2080
Fax: (417) 336-3583

The enumeration date for this NPI number is 7/18/2005 and was last updated on 11/5/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LW0102X	Nurse Practitioner	Women's Health	066289	MISSOURI	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	823443798	MEDICARE ID-TYPE UNSPECIFIED
2	823443571	MEDICARE ID-TYPE UNSPECIFIED
3	423691567	MEDICAID	MISSOURI
4	Q34418	MEDICARE UPIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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