Individual
LINDA ANN HOLLERN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1 GENESYS PKWY, GRAND BLANC, MI 48439-8065
(810) 606-5632
Mailing address
1 GENESYS PKWY, GRAND BLANC, MI 48439-8065
(810) 606-5632
Taxonomy
Speciality
Code
Description
License number
State
163WD0400X
Diabetes Educator Registered Nurse
Primary
4704134053
MI
363LA2200X
Adult Health Nurse Practitioner
4704134053
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4456759
—
MI
Enumeration date
09/21/2005
Last updated
12/30/2015
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