Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mrs. Charleen Therese Holder

Individual provider Family Nurse Practitioner · NPI 1528310505

Mrs. Charleen Therese Holder is a Nurse Practitioner in Cambria Heights, New York. Qualified in 2022, 4 years ago. Practices with Bronx Medical Practice PC, a 136-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
4
Licensed in
NY
In the registry since
2012
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Practice location Address checks out

11520 217th St Cambria Hts
Cambria Heights, NY 11411-1116
Phone: (347) 420-4109
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence F351140 (NY)

Record details

NPI number1528310505
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 15, 2012
Last updated in NPPESSeptember 23, 2025
Certification dateSeptember 23, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Bronx Medical Practice Pc — 136 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Cambria Heights