Etta Holden

Other Technician · Youngstown, FL

Individual Active NPI

NPI number 1407286636

Practice location

5017 Oak Ave
Youngstown, FL 32466-2024
Phone
(855) 832-6727
Fax
(772) 675-9100

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NPI record

NPI
1407286636
Entity type
Individual (Type 1)
Enumeration date
November 25, 2013
Last updated
November 25, 2013
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Other Technician Primary 247200000X — —

Mailing address

4575 SE Dixie Hwy
Stuart, FL 34997-6826
Phone
(855) 832-6727
Fax
(772) 675-9100

About Etta Holden

Etta Holden is a healthcare provider registered in the NPI registry with the primary taxonomy Other Technician (code 247200000X). The practice location is 5017 Oak Ave, Youngstown, FL 32466-2024. The NPI number 1407286636 was assigned on November 25, 2013 and the record was last updated on November 25, 2013.

Frequently asked questions

What is the NPI number of Etta Holden?

The NPI number is 1407286636.

What is the phone number of Etta Holden?

The phone number listed for the practice location is (855) 832-6727.

Where is Etta Holden located?

5017 Oak Ave, Youngstown, FL 32466-2024.

What is the taxonomy code for Etta Holden?

The primary taxonomy code is 247200000X – Other Technician.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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