Provider Demographics
NPI:1194368134
Name:HOLLAND-WOLF, ERIN ROSE (MSN, RN, APRN, CCRN)
Entity Type:Individual
Prefix:
First Name:ERIN
Middle Name:ROSE
Last Name:HOLLAND-WOLF
Suffix:
Gender:F
Credentials:MSN, RN, APRN, CCRN
Other - Prefix:
Other - First Name:ERIN
Other - Middle Name:ROSE
Other - Last Name:HOLLAND
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSN, RN, APRN, CCRN
Mailing Address - Street 1:21376 COURTYARD LN
Mailing Address - Street 2:
Mailing Address - City:LIBERTY LAKE
Mailing Address - State:WA
Mailing Address - Zip Code:99019-3000
Mailing Address - Country:US
Mailing Address - Phone:406-490-3725
Mailing Address - Fax:
Practice Address - Street 1:101 W 8TH AVE
Practice Address - Street 2:
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99204-2307
Practice Address - Country:US
Practice Address - Phone:509-474-3260
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-10-22
Last Update Date:2023-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAP61013149363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care