MARILYN GRIBBLE HOLLAND APRN NPI 1861932154

NPI Information

NPI: 1861932154
Provider Name: MARILYN GRIBBLE HOLLAND, APRN
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Organization: LCMS NEUROSURGICAL INSTITUTE OF LAKE CHARLES LLC

PECOS Registration: Yes

Address:
2770 3RD AVE STE 110
LAKE CHARLES, LA
ZIP 70601
Phone: (337) 494-4747
Get Directions

Marilyn Gribble Holland, APRN is a family nurse practitioner in Lake Charles, LA with 8 years of experience. Marilyn Gribble Holland, APRN NPI is 1861932154. 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:

2770 3RD AVE STE 110
LAKE CHARLES, LA
ZIP 70601-404
Phone: (337) 494-4747
Fax: (337) 494-4773

The NPI 1861932154 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 3/6/2017 and was last updated on 2/4/2022.

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	363LF0000X	Nurse Practitioner	Family	AP09148	LOUISIANA	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	AP09148	OTHER	LOUISIANA	STATE LICENSE
2	2441612	MEDICAID	LOUISIANA

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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