Provider Demographics
NPI:1033432851
Name:HOLLAND, NORA LYNN (RN, IBCLC, ICCE, ICD)
Entity Type:Individual
Prefix:MS
First Name:NORA LYNN
Middle Name:
Last Name:HOLLAND
Suffix:
Gender:F
Credentials:RN, IBCLC, ICCE, ICD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:75 MAPLE ST
Mailing Address - Street 2:
Mailing Address - City:WARE
Mailing Address - State:MA
Mailing Address - Zip Code:01082-1544
Mailing Address - Country:US
Mailing Address - Phone:413-222-8779
Mailing Address - Fax:413-967-3275
Practice Address - Street 1:75 MAPLE ST
Practice Address - Street 2:
Practice Address - City:WARE
Practice Address - State:MA
Practice Address - Zip Code:01082
Practice Address - Country:US
Practice Address - Phone:413-222-8779
Practice Address - Fax:413-967-3275
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-08
Last Update Date:2018-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY704567163WH0200X
MARN2260443163WL0100X, 163W00000X
174H00000X, 374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
No163WH0200XNursing Service ProvidersRegistered NurseHome Health
No163WL0100XNursing Service ProvidersRegistered NurseLactation Consultant
No174H00000XOther Service ProvidersHealth Educator
No374J00000XNursing Service Related ProvidersDoula