Provider Demographics
NPI:1780484543
Name:CECH, HOLLY MONDAIN (RN)
Entity type:Individual
Prefix:MRS
First Name:HOLLY
Middle Name:MONDAIN
Last Name:CECH
Suffix:
Gender:
Credentials:RN
Other - Prefix:
Other - First Name:HOLLY
Other - Middle Name:MONDAIN
Other - Last Name:SELLAND
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:305 S MAPLE ST
Mailing Address - Street 2:
Mailing Address - City:WORTHING
Mailing Address - State:SD
Mailing Address - Zip Code:57077-2051
Mailing Address - Country:US
Mailing Address - Phone:605-777-9045
Mailing Address - Fax:
Practice Address - Street 1:2501 W 22ND ST
Practice Address - Street 2:
Practice Address - City:SIOUX FALLS
Practice Address - State:SD
Practice Address - Zip Code:57105-1305
Practice Address - Country:US
Practice Address - Phone:605-336-3230
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-19
Last Update Date:2025-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SDR028690163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse