Individual provider · Type 1 NPI

Elizabeth A. Holmes, AGNP-BC

Nurse Practitioner · Portland, OR

NPI number 1669200812 Active

Practice location

314 NE 19th Ave
Portland, OR 97232-2829

Mailing address

2623 9th Ave
Oakland, CA 94606-2127

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000X95192567 (CA)
Registered Nurse 163W00000X10018561 (OR)
Nurse Practitioner 363L00000XNP95028849 (CA)
Nurse Practitioner Primary 363L00000X10018561 (OR)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1669200812

Elizabeth A. Holmes, AGNP-BC's National Provider Identifier is 1669200812, issued on Jul 22, 2024. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Portland, OR. The record was last updated on Jul 27, 2024.