Individual
ANNA JEAN HOLLAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
744 S WEBSTER AVE, GREEN BAY, WI 54301-3505
(920) 445-7222
(920) 445-7289
Mailing address
PO BOX 22487, GREEN BAY, WI 54305-2487
(920) 445-7226
(920) 445-7229
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
0024166047
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
70668
AMERICAN ASSOCIATION OF NURSE ANESTHETISTS
—
Enumeration date
03/31/2006
Last updated
01/06/2020
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