Holland, Carol Edwards
Holland, Carol Edwards is an individual health care provider with primary practice located at 400 Military Heights Pl , Roswell NM 88201-6407. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Holland, Carol Edwards can be contacted via phone (575) 627-9500.Contact Information
Primary practice address
400 Military Heights Pl
Roswell NM 88201-6407
Phone: (575) 627-9500
Fax: (575) 627-9535
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | CNP00402 | New Mexico |
Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | R23239 | New Mexico |
Profile Details
NPI number | 1962478412 |
---|---|
LBN Legal business name | Holland, Carol Edwards |
Credentials | Certified Family Nurse Practitioner (CFNP) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Feb 24th, 2006 |
Last updated | Feb 3rd, 2022 - 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 | 1962478412 | NPPES |
New Mexico | Other | 74-2823514 | GROUP TAX ID |
New Mexico | MEDICAID | 65000579 | GROUP TAX ID |
New Mexico | Other | 800521089 | GROUP TAX ID |
New Mexico | Other | 1932187044 | GROUP TAX ID |
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