Henrick Karl Holmberg, RN
NPI 1598429300ActiveIndividual· Registered Nurse, Administrator· Fort Defiance, AZ
Registered Nurse, Administrator (RN) in Fort Defiance, Arizona, licensed in AZ and AL, with an NPI issued in October 2021.
Overview
| NPI | 1598429300 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | RN |
| Sole proprietor | No |
| NPI issued | Oct 27, 2021 |
| Last updated in NPPES | Oct 27, 2021 |
| Certified by provider | Sep 24, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Registered Nurse, Administrator Primary | 163WA2000X | RN198338 | AZ |
| Registered Nurse, Critical Care Medicine | 163WC0200X | 1-138207 | AL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
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