EDRIS Y HOLLAND RN MSN FNP-C NPI 1154929495

NPI Information

NPI: 1154929495
Provider Name: EDRIS Y HOLLAND, RN MSN FNP-C
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Address:
520 W PALMDALE BLVD
PALMDALE, CA
ZIP 93551
Phone: (661) 947-3300
Get Directions

Edris Y Holland, RN MSN FNP-C is a family nurse practitioner in Palmdale, CA. Edris Y Holland, RN MSN FNP-C NPI is 1154929495. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

520 W PALMDALE BLVD
PALMDALE, CA
ZIP 93551-229
Phone: (661) 947-3300
Fax: (661) 947-3322

The enumeration date for this NPI number is 10/9/2020 and was last updated on 4/11/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163W00000X	Registered Nurse		374283	CALIFORNIA	No
2	163WC1500X	Registered Nurse	Community Health	374283	CALIFORNIA	No
3	363LF0000X	Nurse Practitioner	Family	95017058	CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	95017058	OTHER	CALIFORNIA	FNP-C LICENSE NUMBER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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