Individual provider · Type 1 NPI
Tanya Holmes, AGACNP
Acute Care Nurse Practitioner · Lafayette, LA
NPI number
1104625615
Active
Practice location
2390 W Congress St
Lafayette, LA 70506-4205
Mailing address
1413 W Saint Mary Blvd
Lafayette, LA 70506-3440
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | RN118258 (LA) |
| Acute Care Nurse Practitioner Primary | 363LA2100X | 239761 (LA) |
Acute Care Nurse Practitioner: Definition to come...
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About NPI 1104625615
Tanya Holmes, AGACNP's National Provider Identifier is 1104625615, issued on Mar 10, 2025. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Lafayette, LA. The record was last updated on Mar 14, 2025.