Provider Demographics
NPI:1699083477
Name:HOLTZMAN, SHIRLI (CD(DONA), HBCE)
Entity type:Individual
Prefix:MRS
First Name:SHIRLI
Middle Name:
Last Name:HOLTZMAN
Suffix:
Gender:F
Credentials:CD(DONA), HBCE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:67 SACRAMENTO ST
Mailing Address - Street 2:
Mailing Address - City:CAMBRIDGE
Mailing Address - State:MA
Mailing Address - Zip Code:02138-1925
Mailing Address - Country:US
Mailing Address - Phone:617-335-0962
Mailing Address - Fax:
Practice Address - Street 1:67 SACRAMENTO ST
Practice Address - Street 2:
Practice Address - City:CAMBRIDGE
Practice Address - State:MA
Practice Address - Zip Code:02138-1925
Practice Address - Country:US
Practice Address - Phone:617-335-0962
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-09-15
Last Update Date:2010-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NOT AVAILABLE374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula