MRS. ELLEN TERESE HOLM


Address: 1236 E Rusholme St, Ste 300, Davenport, IA 52803-2434
Phone: 5633242992

MRS. ELLEN TERESE HOLM (NPI# 1942606413) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1942606413
Entity Type Individual
Full Name MRS. ELLEN TERESE HOLM
Credential AGPCNP-BC
Practice Address 1236 E Rusholme St
Ste 300
Davenport
IA 52803-2434
Practice Telephone 5633242992
Practice Fax Number 5633248562
Mailing Telephone 5633242992
Mailing Fax Number 5633248562
Enumeration Date 2014-11-11
Last Update Date 2017-01-16
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LG0600X Nurse Practitioner
Specialization: Gerontology
2014015805 IN Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 1236 E RUSHOLME ST
STE 300
City DAVENPORT
State IA
Zip Code 52803-2434

Providers in the same location

NPI Name Taxonomy Address Enumeration
1912986837 Prakash R Bontu Internal Medicine 1236 E Rusholme St, Suite 300, Davenport, IA 52803-2473 2006-01-10
1619228392 Meredith Lee Hodgson Nurse Practitioner 1236 E Rusholme St, Suite 300, Davenport, IA 52803-2434 2012-09-21
1720382542 Julie Ann Shereda Nurse Practitioner 1236 E Rusholme St, Suite 300, Davenport, IA 52803-2434 2011-01-08
1760792683 Cynthia D Burkholder Nurse Practitioner 1236 E Rusholme St, Suite 300, Davenport, IA 52803-2434 2010-10-13
1497080709 Srikanth Reddy Kasula Internal Medicine 1236 E Rusholme St, Ste 300, Davenport, IA 52803-2434 2009-10-05
1184957839 Shannon M Mentzer Nurse Practitioner 1236 E Rusholme St, Suite 300, Davenport, IA 52803-2434 2009-09-14
1538353784 Paula Jean Bryant Nurse Practitioner 1236 E Rusholme St, Suite 300, Davenport, IA 52803-2473 2007-08-30
1689724700 Denise Elaine Antle Clinical Nurse Specialist 1236 E Rusholme St, Davenport, IA 52803-2473 2007-01-11
1871687087 Michael Joseph Gimbel IIi Internal Medicine 1236 E Rusholme St, Suite 300, Davenport, IA 52803-2434 2006-10-03
1104936087 Shawna Kaye Duske Nurse Practitioner 1236 E Rusholme St, Suite 300, Davenport, IA 52803-2473 2006-08-30
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1679189971 Amber Rae Rupiper Physician Assistant 518 Locus Street, Davenport, IA 52803 2020-09-22
1558869321 Devan Louis Depauw Physician Assistant 1227 East Rusholme St., Davenport, IA 52803 2018-01-26
1215383070 Brittney N Hughes Nurse Practitioner 1228 E Rusholme Street, Suite 3020, Davenport, IA 52803 2016-05-11
1992138747 Sarah Beth Schlickman Nurse Practitioner 1228 E Rusholme St Ste 3020, Davenport, IA 52803 2013-08-15
1154763845 Leslie A Poston Nurse Practitioner 1228 E. Rushome Street, Mob I, Suite 2100, Davenport, IA 52803 2013-07-23
1083878896 Jolene Marie Dague Dentist 1905 N. Main St, Davenport, IA 52803 2008-07-11
1952436370 Joann C Milani Psychologist 1503 Brady Street, Davenport, IL 52803 2007-02-23
1942343579 Lisa Clare Ploehn Pharmacist 129 West Locust Street, Davenport, IA 52803 2007-02-14
1366597957 Cathleen Ann Clark Social Worker 1706 N Brady, Suite 204, Davenport, IA 52803 2007-01-24
1184781940 William Burke Ltd Durable Medical Equipment & Medical Supplies 129 West Locust, Davenport, IA 52803 2007-01-02
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Taxonomy Information

Taxonomy Code 363LG0600X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Gerontology

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1841836004 Cara Marie Voelliger Nurse Practitioner 1236 E Rusholme St Ste 300, Davenport, IA 52803-2484 2019-11-22
1982071817 Antoinette Lambert Nurse Practitioner 500 W River Dr, Davenport, IA 52801-1014 2015-08-26
1568851913 Sherrel Fry Nurse Practitioner 1351 W Central Park Ave, Davenport, IA 52804-1853 2015-01-22
1366858334 Alicia L Duyvejonck Nurse Practitioner 4700 E 56th St, Suite 100, Davenport, IA 52807-2903 2014-07-10
1356774798 Anne Christine Gentil-archer Nurse Practitioner 1441 W Central Park Ave, Davenport, IA 52804 2013-08-20

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1730704644 Edna Mae Scherbring Nurse Practitioner 908 8th St Sw, Dyersville, IA 52040-2146 2020-06-16
1659784866 Halley Boston Nurse Practitioner 32061 Old Portland Rd, Adel, IA 50003-8703 2014-06-05
1952679292 Kathleen Chapman Nurse Practitioner 2797 Reading Trl, Logan, IA 51546-5053 2011-12-01
1376724260 Hoskins Geriatrics, PC Nurse Practitioner 1827 Reed St, Grinnell, IA 50112-1029 2007-11-19
1497848014 Denise Overby-reyes Nurse Practitioner 7968 Essen Park Lane, Baton Rouge, IA 70806 2006-10-02
1447247184 Karen J. Bates Nurse Practitioner 705 8th St, Story City, IA 50248-1301 2005-09-27
1891797494 Cynthia S Rebik Christensen Nurse Practitioner 1325 Ne 31st St, Ankeny, IA 50021-6695 2005-08-12
1407474133 Erika Lea Harwood Nurse Practitioner 115 S Park Ave, Eagle Grove, IA 50533-2219 2020-07-09
1629690508 Tara Nichols Nurse Practitioner 910 N Eisenhower Ave, Mason City, IA 50401-1525 2020-05-13
1306470851 Michelle A Richmond Nurse Practitioner 1440 W Dunkerton Rd, Waterloo, IA 50703-9648 2020-02-24
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Competitor

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City DAVENPORT
Zip Code 52803

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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