Provider Demographics
NPI:1780045161
Name:TRAINER, HOLLYAN
Entity Type:Individual
Prefix:
First Name:HOLLYAN
Middle Name:
Last Name:TRAINER
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 1:7017 WINDHAVEN RD
Mailing Address - Street 2:
Mailing Address - City:NORTH RICHLAND HILLS
Mailing Address - State:TX
Mailing Address - Zip Code:76182-3337
Mailing Address - Country:US
Mailing Address - Phone:817-917-0998
Mailing Address - Fax:
Practice Address - Street 1:7017 WINDHAVEN RD
Practice Address - Street 2:
Practice Address - City:NORTH RICHLAND HILLS
Practice Address - State:TX
Practice Address - Zip Code:76182-3337
Practice Address - Country:US
Practice Address - Phone:817-917-0998
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-03-14
Last Update Date:2016-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes373H00000XNursing Service Related ProvidersDay Training/Habilitation Specialist