Provider Demographics
NPI:1841587896
Name:SANFORD, HOLLY KAPLAN (RN, BSN)
Entity Type:Individual
Prefix:MRS
First Name:HOLLY
Middle Name:KAPLAN
Last Name:SANFORD
Suffix:
Gender:F
Credentials:RN, BSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2121 POND SPRING WAY
Mailing Address - Street 2:
Mailing Address - City:FLEMING ISLAND
Mailing Address - State:FL
Mailing Address - Zip Code:32003-8361
Mailing Address - Country:US
Mailing Address - Phone:904-521-8252
Mailing Address - Fax:904-437-4007
Practice Address - Street 1:2121 POND SPRING WAY
Practice Address - Street 2:
Practice Address - City:FLEMING ISLAND
Practice Address - State:FL
Practice Address - Zip Code:32003-8361
Practice Address - Country:US
Practice Address - Phone:904-521-8252
Practice Address - Fax:904-437-4007
Is Sole Proprietor?:No
Enumeration Date:2011-06-28
Last Update Date:2011-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRN9175685163WP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental Health