Individual
MRS. CATHERINE BLACKWELL HOLLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ADULT NURSE PRACTITI
Contact information
Practice address
14151 GLEN ELLIS RD, WALKER, LA 70785-6411
(225) 664-9968
Mailing address
14151 GLEN ELLIS RD, WALKER, LA 70785-6411
(225) 664-9968
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
2608
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010086
PRESCRIPTIVE AUTHORITY
LA
01
—
2608
ADVANCED PRACTICE
LA
Enumeration date
10/01/2008
Last updated
10/01/2008
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