Individual
MRS. CAROL EDWARDS HOLLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CFNP
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
CNP00402
NM
363LF0000X
Family Nurse Practitioner
Primary
R23239
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1932187044
GROUP NPI
NM
05
—
65000579
—
NM
01
—
74-2823514
GROUP TAX ID
NM
01
—
800521089
GROUP MEDICARE
NM
Enumeration date
02/24/2006
Last updated
02/03/2022
Update your record
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