Provider Demographics
NPI:1851156988
Name:HOLT, DAYNA M (DNP, RN)
Entity type:Individual
Prefix:DR
First Name:DAYNA
Middle Name:M
Last Name:HOLT
Suffix:
Gender:F
Credentials:DNP, RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2707 MASON WAY
Mailing Address - Street 2:
Mailing Address - City:VISTA
Mailing Address - State:CA
Mailing Address - Zip Code:92084-1829
Mailing Address - Country:US
Mailing Address - Phone:619-993-9263
Mailing Address - Fax:
Practice Address - Street 1:2707 MASON WAY
Practice Address - Street 2:
Practice Address - City:VISTA
Practice Address - State:CA
Practice Address - Zip Code:92084-1829
Practice Address - Country:US
Practice Address - Phone:619-993-9263
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-02-19
Last Update Date:2024-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA401191163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse