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Individual

CAROLYN B HOLENCIK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
4300 LONDONDERRY RD, HARRISBURG, PA 17109-5317
(717) 782-5118
(717) 782-5854
Mailing address
4300 LONDONDERRY RD, HARRISBURG, PA 17109-5317
(717) 782-5118
(717) 782-5854

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
040159
PA
367500000X
Certified Registered Nurse Anesthetist
Primary
RN258898L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1437115
HIGHMARK BLUE SHIELD
PA
01
50043999
CAPITAL BLUE CROSS
PA
01
P00146818
RAILROAD MEDICARE
PA
01
S75535
HELATHAMERICA
PA
Enumeration date
07/20/2005
Last updated
12/17/2025
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