AMANDA HOLMAN


Address: 800 Grand Central Mall, Suite 4, Vienna, WV 26105-4100
Phone: 3044853300

AMANDA HOLMAN (NPI# 1982080057) 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) 1982080057
Entity Type Individual
Full Name AMANDA HOLMAN
Credential FNP-C, MSN, RN
Practice Address 800 Grand Central Mall
Suite 4
Vienna
WV 26105-4100
Practice Telephone 3044853300
Practice Fax Number 3044856489
Mailing Telephone 3044853300
Mailing Fax Number 3044856489
Enumeration Date 2015-07-30
Last Update Date 2015-11-03
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 163W00000X Registered Nurse 62564 WV Nursing Service Providers
N 163W00000X Registered Nurse 303540 OH Nursing Service Providers
Y 363LF0000X Nurse Practitioner
Specialization: Family
62564 WV Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
OH 0142450 05
WV 3810029780 05

Other Providers AMANDA HOLMAN

NPI Name Taxonomy Address Enumeration
1578884474 Amanda Lee Holman Physical Therapist 51 St John's Parkside, Buffalo, NY 14210 2010-06-15
1346871613 Amanda Jane Holman Behavior Technician 17595 Almahurst St, City of Industry, CA 91748-1779 2020-01-27
1992225981 Amanda Holman Pharmacist 6505 E 71st St, Tulsa, OK 74133-2755 2017-06-21

Office Location

Street Address 800 GRAND CENTRAL MALL
SUITE 4
City VIENNA
State WV
Zip Code 26105-4100

Providers in the same location

NPI Name Taxonomy Address Enumeration
1427051390 Robert Randal Heavner Family Medicine 800 Grand Central Mall, Suite 4, Vienna, WV 26105-4131 2005-05-24
1710469606 Karen Malee Palmateer Physician Assistant 800 Grand Central Mall, Mov Medical Office Building, Suite 10, Vienna, WV 26105 2018-09-06
1073903373 Mid-ohio Valley Nephrology Association Family Medicine 800 Grand Central Mall, Suite 9, Vienna, WV 26105-4100 2015-01-26
1801204003 William A Cline, Do, Pllc Surgery 800 Grand Central Mall, Suite 2, Vienna, WV 26105-4100 2014-07-31
1932459542 Heather Nichole Nutter Audiologist 800 Grand Central Mall, Suite 11, Vienna, WV 26105-4100 2012-09-12
1215284997 Pamela J Parker Nurse Practitioner 800 Grand Central Mall, Suite 4, Vienna, WV 26105-4100 2012-08-13
1609139906 First Settlement Orthopaedics Inc Orthopaedic Surgery 800 Grand Central Mall, Suite 6, Vienna, WV 26105-4100 2012-06-21
1720368483 Matthew Dean Sells Physical Therapist 800 Grand Central Mall, Suite 1, Vienna, WV 26105-4100 2011-08-25
1265732093 Megan Ann Fluharty Physician Assistant 800 Grand Central Mall, Ste 3, Vienna, WV 26105-4100 2010-10-27
1679706469 Sandra Kathryn Shockey Registered Nurse 800 Grand Central Mall, Suite 11, Vienna, WV 26105-4100 2009-08-27
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1023536596 Medexpress Urgent Care, PC - Virginia Emergency Medicine 3 Merrywood Lane, Vienna, WV 26105 2017-09-06
1558889196 Medexpress Urgent Care, PC - Virginia Emergency Medicine 2 Merrywood Lane, Vienna, WV 26105 2017-09-05
1538555206 Cecilia Velarde Harrington Internal Medicine 418 Grand Park Dr Ste 311, Parkersburg, WV 26105 2015-04-09
1568854974 Kathryn Eileen Epkey Student in an Organized Health Care Education/Training Program 411 28th Street, Vienna, WV 26105 2015-02-21
1023120441 Robert William Azar Otolaryngology 1801 Grand Central Ave, Vienna, WV 26105 2006-08-31
1578521407 John A Stavrakis Optometrist 701 Grand Central Ave, Vienna, WV 26105 2006-05-02
1881203149 Charlene Rein Dentist 501 Grand Central Ave, Vienna, WV 26105 2020-07-23
1891355434 Mohamed Moustafa Meky Dentist 501 Grand Central Ave, Parkersburg, WV 26105 2019-06-17
1568990091 Jonathon Ray Barbosa Scott Specialist/Technologist 1 Campus Drive, Vienna, WV 26105 2017-05-29
1356772677 Drs. Krajekian,brock & Henderson Inc Dentist 417 Grand Park Dr, Suite 103, Parkersburg, WV 26105 2013-12-12
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1760099642 Lindsey Ruth Gustafson Nurse Practitioner 2054 Meadow Springs Dr, Vienna, VA 22182-3771 2020-09-25
1013525310 Sandra St Louis Thompson Nurse Practitioner 3946 King Graves Rd, Vienna, OH 44473 2020-07-22
1750857496 Kirsten Martin Goetz Nurse Practitioner 8357 Leesburg Pike, Vienna, VA 22182-2493 2018-10-21
1124572433 Katherine Chalkley Frederick Nurse Practitioner 243 Church St Nw Ste 100c, Vienna, VA 22180-4434 2016-08-04
1780972034 Patricia Crawford Nurse Practitioner 100 East Street Se, 301, Vienna, VA 22180-4800 2011-07-20
1144513037 Dana Yousef Nurse Practitioner 303 Maple Ave W Ste C, Vienna, VA 22180-4312 2011-05-25
1700112596 Anissa M Ben Aida Nurse Practitioner 370 Maple Ave W, Suite V, Vienna, VA 22180-5615 2009-10-29
1659554814 Joy F Fellman Nurse Practitioner 337 Maple Avenue E, Cvs - Minute Clinic, Vienna, VA 22180 2007-12-11
1043371537 Sharl Ann Trussell Nurse Practitioner 1212 E Union St, Vienna, GA 31092-7545 2006-12-12
1972687051 Dena C Taylor Nurse Practitioner 803 N 1st St, Vienna, IL 62995-1544 2006-10-25
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Competitor

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City VIENNA
Zip Code 26105

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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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