Provider Demographics
NPI:1255615779
Name:HOLLANDS, NANCY CARLEEN (RN)
Entity type:Individual
Prefix:MRS
First Name:NANCY
Middle Name:CARLEEN
Last Name:HOLLANDS
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:520 MILAN AVE LOT 129
Mailing Address - Street 2:
Mailing Address - City:NORWALK
Mailing Address - State:OH
Mailing Address - Zip Code:44857-8749
Mailing Address - Country:US
Mailing Address - Phone:419-668-8271
Mailing Address - Fax:
Practice Address - Street 1:520 MILAN AVE LOT 129
Practice Address - Street 2:
Practice Address - City:NORWALK
Practice Address - State:OH
Practice Address - Zip Code:44857-8749
Practice Address - Country:US
Practice Address - Phone:419-668-8271
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-10-03
Last Update Date:2011-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN325069163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse