Provider Demographics
NPI:1164707915
Name:HOLLAND, HOPE BOLIN (NURSE)
Entity Type:Individual
Prefix:MRS
First Name:HOPE
Middle Name:BOLIN
Last Name:HOLLAND
Suffix:
Gender:F
Credentials:NURSE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4923 GENERAL EWELL DR
Mailing Address - Street 2:
Mailing Address - City:BOSSIER CITY
Mailing Address - State:LA
Mailing Address - Zip Code:71112-4727
Mailing Address - Country:US
Mailing Address - Phone:318-751-3831
Mailing Address - Fax:
Practice Address - Street 1:4923 GENERAL EWELL DR
Practice Address - Street 2:
Practice Address - City:BOSSIER CITY
Practice Address - State:LA
Practice Address - Zip Code:71112-4727
Practice Address - Country:US
Practice Address - Phone:318-751-3831
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-10-12
Last Update Date:2011-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes372600000XNursing Service Related ProvidersAdult Companion
No372500000XNursing Service Related ProvidersChore Provider
No376J00000XNursing Service Related ProvidersHomemaker