Provider Demographics
NPI:1891986394
Name:BELL, HOLLY GOODLING (CRNP)
Entity Type:Individual
Prefix:MS
First Name:HOLLY
Middle Name:GOODLING
Last Name:BELL
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11100 MCCORMICK RD
Mailing Address - Street 2:
Mailing Address - City:HUNT VALLEY
Mailing Address - State:MD
Mailing Address - Zip Code:21031-1107
Mailing Address - Country:US
Mailing Address - Phone:410-771-7174
Mailing Address - Fax:410-771-7970
Practice Address - Street 1:11100 MCCORMICK RD
Practice Address - Street 2:
Practice Address - City:HUNT VALLEY
Practice Address - State:MD
Practice Address - Zip Code:21031-1107
Practice Address - Country:US
Practice Address - Phone:410-771-7174
Practice Address - Fax:410-771-7970
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-08
Last Update Date:2007-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR105444163WX0106X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WX0106XNursing Service ProvidersRegistered NurseOccupational Health