Provider Demographics
NPI:1275654576
Name:HOLLAND, KATHRYN ELIZABETH (RN)
Entity Type:Individual
Prefix:MS
First Name:KATHRYN
Middle Name:ELIZABETH
Last Name:HOLLAND
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:515 W 110TH ST
Mailing Address - Street 2:APT.11F
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10025-2083
Mailing Address - Country:US
Mailing Address - Phone:212-854-6509
Mailing Address - Fax:212-854-0176
Practice Address - Street 1:519 W 114TH ST
Practice Address - Street 2:MC 3601
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10027-7036
Practice Address - Country:US
Practice Address - Phone:212-854-9840
Practice Address - Fax:212-854-0176
Is Sole Proprietor?:No
Enumeration Date:2007-04-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY231805-1163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse