Provider Demographics
NPI:1407699754
Name:HOLDEN, MAEVE CHRISTINA (RN, MSN)
Entity type:Individual
Prefix:MRS
First Name:MAEVE
Middle Name:CHRISTINA
Last Name:HOLDEN
Suffix:
Gender:F
Credentials:RN, MSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2743 RODMAN DR
Mailing Address - Street 2:
Mailing Address - City:LOS OSOS
Mailing Address - State:CA
Mailing Address - Zip Code:93402-4323
Mailing Address - Country:US
Mailing Address - Phone:805-706-0774
Mailing Address - Fax:
Practice Address - Street 1:227 BRIDGE ST
Practice Address - Street 2:
Practice Address - City:ARROYO GRANDE
Practice Address - State:CA
Practice Address - Zip Code:93420-3311
Practice Address - Country:US
Practice Address - Phone:805-474-3000
Practice Address - Fax:805-473-1587
Is Sole Proprietor?:No
Enumeration Date:2024-06-14
Last Update Date:2024-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA566759163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WS0200XNursing Service ProvidersRegistered NurseSchool