Individual
SARA J HOLLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
6108 KILPATRICK LN, MADISON, WI 53718-3197
(608) 287-2700
Mailing address
6108 KILPATRICK LN, MADISON, WI 53718-3197
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
4220-33
WI
363A00000X
Physician Assistant
PA10005183
WA
363AS0400X
Surgical Physician Assistant
50003326
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0220568
L&I
WA
05
—
8501058
—
WA
01
—
PA10005183
STATE LICENSE
WA
Enumeration date
04/17/2007
Last updated
05/16/2023
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