Individual
MS. IRENE ANN HOLLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, PMHNP
Contact information
Practice address
58646 MCNULTY WAY, SAINT HELENS, OR 97051-6210
(503) 397-5211
(503) 397-5373
Mailing address
58646 MCNULTY WAY, SAINT HELENS, OR 97051-6210
(503) 397-5211
(503) 397-5373
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
000033401RN
OR
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
200550159NPPMHNP-PP
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
126370
—
OR
Enumeration date
11/03/2005
Last updated
08/01/2011
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