Provider Demographics
NPI:1235892035
Name:FLODIN, HOLLY NICOLE
Entity Type:Individual
Prefix:MS
First Name:HOLLY
Middle Name:NICOLE
Last Name:FLODIN
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 1:4 RENWOOD CT
Mailing Address - Street 2:
Mailing Address - City:NEW CITY
Mailing Address - State:NY
Mailing Address - Zip Code:10956-4911
Mailing Address - Country:US
Mailing Address - Phone:401-230-2350
Mailing Address - Fax:
Practice Address - Street 1:4 RENWOOD CT
Practice Address - Street 2:
Practice Address - City:NEW CITY
Practice Address - State:NY
Practice Address - Zip Code:10956-4911
Practice Address - Country:US
Practice Address - Phone:401-230-2350
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-10-19
Last Update Date:2021-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY823421163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse