Individual provider · Type 1 NPI

Theresa Holmgren, CPNP

Pediatric Nurse Practitioner · Lansing, MI

NPI number 1306065651 Active

Practice location

2414 Lake Lansing Rd
Lansing, MI 48912-3618

Mailing address

5150 Delta River Dr
Lansing, MI 48906-9075

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200X4704133704 (MI)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1306065651

Theresa Holmgren, CPNP's National Provider Identifier is 1306065651, issued on Apr 25, 2007. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Lansing, MI. The record was last updated on Jul 8, 2007.