Provider Demographics
NPI:1437914934
Name:SOLLY, HOLLY HANNAH (RN, IBCLC)
Entity Type:Individual
Prefix:
First Name:HOLLY
Middle Name:HANNAH
Last Name:SOLLY
Suffix:
Gender:F
Credentials:RN, IBCLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4119 EASTON WAY
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43219-6142
Mailing Address - Country:US
Mailing Address - Phone:909-658-5586
Mailing Address - Fax:
Practice Address - Street 1:4119 EASTON WAY
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43219-6142
Practice Address - Country:US
Practice Address - Phone:909-658-5586
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-02-14
Last Update Date:2024-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH528129163WL0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WL0100XNursing Service ProvidersRegistered NurseLactation Consultant