Provider Demographics
NPI:1124253992
Name:HOLLANDER, THERESA ANN CASE (CRNP)
Entity type:Individual
Prefix:
First Name:THERESA
Middle Name:ANN CASE
Last Name:HOLLANDER
Suffix:
Gender:F
Credentials:CRNP
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Mailing Address - Street 1:3401 N BROAD ST
Mailing Address - Street 2:320 PARKINSON PAVILION
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19140-5103
Mailing Address - Country:US
Mailing Address - Phone:215-707-3890
Mailing Address - Fax:215-707-1576
Practice Address - Street 1:1200 OLD YORK ROAD
Practice Address - Street 2:5 TOLL
Practice Address - City:ABINGTON
Practice Address - State:PA
Practice Address - Zip Code:19001-3720
Practice Address - Country:US
Practice Address - Phone:215-481-4200
Practice Address - Fax:215-881-9587
Is Sole Proprietor?:No
Enumeration Date:2009-05-22
Last Update Date:2018-05-10
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NJ26NC04269800364SA2200X
PASP009576363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No364SA2200XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistAdult Health