Holland, Amy Rebecca
Holland, Amy Rebecca is an individual health care provider with primary practice located at 8300 Constantin Blvd , Baton Rouge LA 70809-3489. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Holland, Amy Rebecca can be contacted via phone (225) 374-1528.Contact Information
Primary practice address
8300 Constantin Blvd
Baton Rouge LA 70809-3489
Phone: (225) 374-1528
Fax: (225) 374-1611
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Pediatrics | 363LP0200X | 713158 | Texas |
| Physician Assistants & Advanced Practice Nursing Providers / Pediatrics | 363LP0200X | RN104466-AP04195 | Louisiana |
| Physician Assistants & Advanced Practice Nursing Providers / Pediatrics | 363LP0200X | AP04195 | Louisiana |
Profile Details
| NPI number | 1316090202 |
|---|---|
| LBN Legal business name | Holland, Amy Rebecca |
| Credentials | RN, CPNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 22nd, 2007 |
| Last updated | Mar 14th, 2023 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1316090202 | NPPES |
| Louisiana | MEDICAID | 2152815 | |
| Louisiana | MEDICAID | 1163244 | |
| Louisiana | MEDICAID | 1450278 | |
| Louisiana | MEDICAID | 1188522 |
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