MS. ROSZINA TEKOLA HOLMES LPN NPI 1386992055

NPI Information

NPI: 1386992055
Provider Name: MS. ROSZINA TEKOLA HOLMES, LPN
Classification: Licensed Practical Nurse - 164W00000X
Entity Type: Individual
Address:
6590 ALFORD WAY
LITHONIA, GA
ZIP 30058
Phone: (678) 531-0248
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MS. Roszina Tekola Holmes, LPN is a licensed practical nurse in Lithonia, GA. The provider is a licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. MS. Roszina Tekola Holmes, LPN NPI is 1386992055. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

6590 ALFORD WAY
LITHONIA, GA
ZIP 30058-195
Phone: (678) 531-0248
Fax: (770) 829-5202

The enumeration date for this NPI number is 8/28/2012 and was last updated on 8/28/2012.

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	164W00000X	Licensed Practical Nurse		LPN074662	GEORGIA	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	Other Provider Identifier Issuer
1	192128	MEDICAID	GEORGIA

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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