Provider Demographics
NPI:1013393198
Name:HOLLE, ERIN
Entity Type:Individual
Prefix:MISS
First Name:ERIN
Middle Name:
Last Name:HOLLE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4000 LAKE BEAU PRE BLVD APT 187
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70820-4271
Mailing Address - Country:US
Mailing Address - Phone:860-861-1303
Mailing Address - Fax:
Practice Address - Street 1:4000 LAKE BEAU PRE BLVD APT 187
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70820-4271
Practice Address - Country:US
Practice Address - Phone:860-861-1303
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-07-30
Last Update Date:2015-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program